Archives of the Turkish Society of Cardiology
Right coronary artery aneurysm mimicking a residual shunt in a patient with previous ventricular septal defect repair [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2007; 35(7): 430-432

Right coronary artery aneurysm mimicking a residual shunt in a patient with previous ventricular septal defect repair

Mehmet Özaydın1, Oktay Peker2, Ercan Varol3, Süleyman M Aslan1
1Department of Cardiology, Suleyman Demirel University, Isparta, Turkey
2Department oF Cardiovascular Surgery, Suleyman Demirel University, Isparta, Turkey
3State Hospital, Isparta, Turkey

A 20-year-old male was examined because of the suspicion of a residual ventricular septal defect (VSD) shunt following a VSD repair of a 10-year history. On physical examination, there was a grade 2/VI systolic and a mild diastolic murmur over the left lower sternal border. Transthoracic echocardiography showed a dilated left atrium and moderate mitral and mild aortic regurgitation. Color Doppler echocardiography showed a mosaic-colored jet near the aortic valve that appeared to be a residual VSD shunt. The jet was the flow of the right coronary artery (RCA). Coronary angiography and cardiac catheterization revealed an aneurysm of the RCA, 11 mm in size, pseudocoarctation of the aorta, and moderate mitral and mild aortic regurgitation. No residual VSD was detected. It was concluded that the jet was associated with the aneurysmal RCA. Medical treatment with aspirin was scheduled for the patient.

Keywords: Aortic coarctation/diagnosis, coronary aneurysm/diagnosis, coronary angiography, echocardiography

How to cite this article
Mehmet Özaydın, Oktay Peker, Ercan Varol, Süleyman M Aslan. Right coronary artery aneurysm mimicking a residual shunt in a patient with previous ventricular septal defect repair. Turk Kardiyol Dern Ars. 2007; 35(7): 430-432

Corresponding Author: Mehmet Özaydın, Türkiye
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