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Giant aortic sinus fistula

December 2013 Br J Cardiol 2013;20:156 doi:10.5837/bjc.2013.35

Giant aortic sinus fistula

Jason M Tarkin, Waleed Arshad, Arvinder Kurbaan, Timothy J Bowker, Han B Xiao

Abstract

Echocardiography showed a right coronary (anterior) aortic sinus aneurysm protruding into the right ventricle with a large (1.5 cm) fistula (figure 1). Biventricular size and function was normal; there were no other structural cardiac defects or evidence of infective endocarditis seen. Percutaneous device closure was not possible due to the large size of the aneurysm. He underwent cardiac surgery. There was a right coronary (anterior) aortic sinus aneurysm, which had ruptured into the right ventricle. Patch closure with bovine pericardium and aortic valve replacement with a 25 mm St. Jude Regent™ mechanical valve were Figure 1. Echocardiogr

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