Abstract
A 33-YEAR-OLD MAN with a congenital right coronary artery (RCA)–left ventricle (LV) fistula was admitted because of gradually increasing heart failure. A preoperative angiogram revealed a right coronary aneurysm and LV volume overload caused by an RCA-LV shunt. The patient was scheduled for surgical closure of the fistula and reconstruction of the RCA.
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