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Right Coronary Artery to Coronary Sinus Fistula with Giant Coronary Sinus Aneurysm Cover

Right Coronary Artery to Coronary Sinus Fistula with Giant Coronary Sinus Aneurysm

Open Access
|Feb 2026

Figures & Tables

Figure 1

(A, B) Volume-rendered images demonstrate a dilated and tortuous right coronary artery (RCA) along its entire course. (C–E) Multiplanar reconstructions of computed tomography angiography depict a fistulous connection (arrowhead) between the distal RCA and the coronary sinus (CS). Also present is stenosis of the CS ostium (thick white arrow in E) with aneurysmal dilatation of the CS. (F) Volume-rendered image shows the dilated CS displacing the heart cranially. LV: left ventricle; RA: right atrium; RV: right ventricle

Video 1

Volume rendering of computed tomography angiography dataset; see also at https://vimeo.com/1153740220.

Video 2

Volume rendering of computed tomography angiography dataset demonstrating the aorta, right coronary artery, and coronary sinus with the rest of the cardiovascular structures subtracted; see also at https://vimeo.com/1153741063.

DOI: https://doi.org/10.14797/mdcvj.1771 | Journal eISSN: 1947-6108
Language: English
Page range: 11 - 13
Submitted on: Dec 19, 2025
Accepted on: Dec 22, 2025
Published on: Feb 11, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2026 Damandeep Singh, Niraj Nirmal Pandey, Rakesh Yadav, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.