Coronary aneurysm with double right coronary artery and fistula.

A 64-year-old woman was referred to the Kaohsiung Medical University Hospital for evaluation of a mass adjoining the left cardiac border, identified on a chest roentgenogram (Figure 1, A). She had no history of Kawasaki’s disease, chest trauma, or pulmonary problems, except a recent cough with whitish sputum. A grade 2 continuous murmur could be heard at the left upper sternal border. Enhanced computed tomography scans of the chest demonstrated