10 Mar 2017
Is that really a coronary artery? - Image 42
Authors: M. Nobre Menezes, A.R.G. Francisco, J. Marques Da Costa, P. Canas Da Silva, F.J. Pinto
Image in Interventional Cardiovascular Medicine: what do you see?

Share your comments on the image above:
- What do you see?
- Which diagnosis element do you recognise?
- How would you treat?
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7 comments
RCA Aneurysm , blocked artery in Mid RCA ? Kawasaki
Fistula from RCA to pulmonary artery. Aneurysm of RCA
Aneurysm of RCA, totally occluded in the mid part. If thrombotic occlusion with STEMI, you must open it, implant a self expandable stent and treat chronically with triple therapy.
I agree with Gianfranco Franco, only the selection of the stent(s) I would leave after opening of the occluded artery.
Aneurysms RCA like to rule out coronary A-V fistula
Catheter is filling an artery ( 2,2 mm diameter, infundibular artery, without regurgitation ) and this artery is draining to a congenital aneurysm. Treatment should be coil embolization. A 3-D CT imaging is needed to make a certain diagnosis.
RC aneurysm with fistula to Right ventricle