A, CT volume rendering reconstruction axial view showed giant RCA and CS. B, CT volume rendering reconstruction‐vessel extraction present giant RCA. CAF, coronary artery fistula; CS, coronary sinus; CT, computer tomography; RCA, right coronary artery

A, CT volume rendering reconstruction axial view showed giant RCA and CS. B, CT volume rendering reconstruction‐vessel extraction present giant RCA. CAF, coronary artery fistula; CS, coronary sinus; CT, computer tomography; RCA, right coronary artery

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Coronary artery fistula is a rare congenital or acquired anomaly. It involves an abnormal connection between the coronary artery and the cardiac chambers or the large thoracic vessels. In some cases, the feeding coronary artery can become extremely dilated. The treatment includes a transcatheter or a surgical intervention depending on the complexit...

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Coronary artery fistula (CAF) is one of the most common coronary artery anomalies. The most common fistulas originate from the right coronary artery and drain into the right heart structures. Due to the variety of coronary fistulas, the surgical treatment strategy is individualized for each case. We report two cases of giant aneurysmal CAF originat...