Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula

Abstract Congenital coronary artery fistula (CAF) is an infrequent vascular anomaly that establishes a direct link between an epicardial coronary artery and a cardiac chamber, major vessels, or other vascular structures. In this case there was an aneurysmal-CAF between a left main trunk and the righ...

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Bibliographic Details
Published in:International journal of cardiology 2008-01, Vol.123 (2), p.e28-e30
Main Authors: Shiga, Yuhei, Tsuchiya, Yoshihiro, Yahiro, Eiji, Kodama, Sunao, Kotaki, Yasutoshi, Shimoji, Eiso, Fukuda, Naoka, Morito, Natsumi, Urata, Makiko, Saito, Naoko, Niimura, Hideya, Mihara, Hiroyuki, Yamanouchi, Yoshio, Urata, Hidenori
Format: Article
Language:English
Subjects:
Abnormalities, Multiple - diagnostic imaging
Adult
Aneurysmal coronary artery fistula
Cardiovascular
Coronary Aneurysm - complications
Coronary Aneurysm - diagnostic imaging
Coronary Artery Disease - complications
Coronary Artery Disease - diagnostic imaging
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnostic imaging
CT coronary angiography
Female
Heart Atria - abnormalities
Heart Atria - diagnostic imaging
Humans
Left main trunk
Radiography
Right atrium
Vascular Fistula - complications
Vascular Fistula - diagnostic imaging
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Description
Summary:Abstract Congenital coronary artery fistula (CAF) is an infrequent vascular anomaly that establishes a direct link between an epicardial coronary artery and a cardiac chamber, major vessels, or other vascular structures. In this case there was an aneurysmal-CAF between a left main trunk and the right atrium, which was initially diagnosed as a Kawasaki disease by transthoracic echocardiography and subsequently confirmed by coronary angiography and multi-slice CT angiography. A multi-slice CT angiography might well become the modality of choice for the characterization of these rare congenital anomalies.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2006.11.108