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Fistula from right and left coronary arteries to pulmonary artery: Coronary CT angiography and coronary angiography findings

Authors
Lim, Hee JoongHwang, Jung HanKim, Jeong HoPark, SuyoungLee, Ki HyunPark, So Hyun
Issue Date
Jul-2021
Publisher
Elsevier Inc.
Keywords
Computed tomography angiography; Coronary angiography; Coronary vessel anomalies; Fistula
Citation
Radiology Case Reports, v.16, no.7, pp.1790 - 1793
Journal Title
Radiology Case Reports
Volume
16
Number
7
Start Page
1790
End Page
1793
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81026
DOI
10.1016/j.radcr.2021.04.014
ISSN
1930-0433
Abstract
Coronary artery fistula is an abnormal communication between the coronary artery and either the cardiac chamber or the great vessel. In particular, the coronary-to-pulmonary artery fistula can be supplied by either one or both coronary arteries and drains to the pulmonary trunk. We report a unique case of fistula originating from both coronary arteries and draining into both sinuses of the main pulmonary artery in a 57-year-old female who experienced chronic chest pain and palpitation. Dilated and tortuous fistulas were found in coronary angiography and coronary computed tomography angiography examinations. To aid early diagnosis and clinical management, radiologists should be aware of the characteristic radiologic findings. © 2021
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