Complex coronary fistula with feeder aneurysm: 64 MDCT findings correlated with conventional angiography

Abstract 44 year old male was admitted to hospital with chest pain. Complex coronary artery fistula drained into pulmonary artery was depicted but not clearly demonstrated with conventional angiography despite various projections. CT angiography was demonstrated that the fistula was fed by both left...

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Bibliographic Details
Published in:European journal of radiology extra 2011-04, Vol.78 (1), p.e13-e16
Main Authors: Erbaş, Gonca, Yalçin, Rıdvan, Kiliç, Koray, Araç, Mehmet, Yüce, Cemal, Ilgit, Erhan T
Format: Article
Language:English
Subjects:
Arteriovenous fistula
Computed tomography
Coronary aneurysm
Coronary angiography
Radiology
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Summary:Abstract 44 year old male was admitted to hospital with chest pain. Complex coronary artery fistula drained into pulmonary artery was depicted but not clearly demonstrated with conventional angiography despite various projections. CT angiography was demonstrated that the fistula was fed by both left anterior descending (LAD) and right coronary artery (RCA) branches. A feeder aneurysm was found on a LAD branch. The fistula was associated with RCA and LAD artery via small caliber vessel web which was also associated with right ventricular outlet. 64-MDCT is superior to catheter angiography in its capability to demonstrate beyond the lumen of coronary arteries and extra-anatomical structures like fistulas.
ISSN:1571-4675
1571-4675
DOI:10.1016/j.ejrex.2011.01.004