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. 2016 Oct 7;95(40):e4860. doi: 10.1097/MD.0000000000004860

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Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0

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Cardiac MDCT 7 years after aortic valve replacement, (A–D) 3-dimensional volume rendering images demonstrate the saccular type of aneurysm with a narrow neck. The proximal RCA is externally compressed by theaneurysmal sac with mural thrombi or hematoma on endoluminal or thrombotic setting. (E and F) Normal mid-to-distal RCA. MDCT = multidetector computed tomography, RCA = right coronary artery. ^∗aortic aneurysm with mural thrombi or intramural hematoma (red arrows); eccentrically compressed proximal RCA (yellow arrows); normal mid-RCA (green arrow); prosthetic aortic valve (blue arrow head).