Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient
We report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery.This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with n...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-01-01
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| Series: | European Journal of Radiology Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235204771630034X |
| _version_ | 1811330984118845440 |
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| author | Francisco Pereira da Silva, MD, Ph.D. Paulo Donato, MD, Ph.D. Henrique Donato, MD Elisabete Jorge, MD Maria Joao Ferreira, MD, Ph.D. Filipe Caseiro-Alves, MD, Ph.D. |
| author_facet | Francisco Pereira da Silva, MD, Ph.D. Paulo Donato, MD, Ph.D. Henrique Donato, MD Elisabete Jorge, MD Maria Joao Ferreira, MD, Ph.D. Filipe Caseiro-Alves, MD, Ph.D. |
| author_sort | Francisco Pereira da Silva, MD, Ph.D. |
| collection | DOAJ |
| description | We report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery.This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with no significant atherosclerotic pathology.Due to development of ventricular tachycardia in stress echocardiogram examination, she was proposed for coronary fistula closure.Coronary CT was performed for procedure planning and allowed the identification of a second unsuspected fistula from the right coronary to the right pulmonary artery.Congenital coronary anomalies are a possible cause of symptomatic coronary pathology in patients of any age. In older patients, coronary artery fistulas are rare, especially when symptomatic. Adequately performed CT examinations, using its post processing capabilities, with 3D and MIP reconstructions are invaluable in delineating coronary anatomy, essential for further treatment planning. Keywords: Coronary anomalies, Coronary fistula, Angiogram, Computer tomography |
| first_indexed | 2024-04-13T16:12:00Z |
| format | Article |
| id | doaj.art-7f303c247d9448debac47f4f5b79c98e |
| institution | Directory Open Access Journal |
| issn | 2352-0477 |
| language | English |
| last_indexed | 2024-04-13T16:12:00Z |
| publishDate | 2016-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Journal of Radiology Open |
| spelling | doaj.art-7f303c247d9448debac47f4f5b79c98e2022-12-22T02:40:12ZengElsevierEuropean Journal of Radiology Open2352-04772016-01-013272274Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patientFrancisco Pereira da Silva, MD, Ph.D.0Paulo Donato, MD, Ph.D.1Henrique Donato, MD2Elisabete Jorge, MD3Maria Joao Ferreira, MD, Ph.D.4Filipe Caseiro-Alves, MD, Ph.D.5Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra; Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, Portugal; Corresponding author at: Rua de S. Teotonio lote 8 3° D, Coimbra, Portugal.Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra; Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, PortugalServiço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra; Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, PortugalCardiology Department from University Hospital Center of Coimbra, PortugalCardiology Department from University Hospital Center of Coimbra, PortugalServiço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra; Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, PortugalWe report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery.This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with no significant atherosclerotic pathology.Due to development of ventricular tachycardia in stress echocardiogram examination, she was proposed for coronary fistula closure.Coronary CT was performed for procedure planning and allowed the identification of a second unsuspected fistula from the right coronary to the right pulmonary artery.Congenital coronary anomalies are a possible cause of symptomatic coronary pathology in patients of any age. In older patients, coronary artery fistulas are rare, especially when symptomatic. Adequately performed CT examinations, using its post processing capabilities, with 3D and MIP reconstructions are invaluable in delineating coronary anatomy, essential for further treatment planning. Keywords: Coronary anomalies, Coronary fistula, Angiogram, Computer tomographyhttp://www.sciencedirect.com/science/article/pii/S235204771630034X |
| spellingShingle | Francisco Pereira da Silva, MD, Ph.D. Paulo Donato, MD, Ph.D. Henrique Donato, MD Elisabete Jorge, MD Maria Joao Ferreira, MD, Ph.D. Filipe Caseiro-Alves, MD, Ph.D. Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient European Journal of Radiology Open |
| title | Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| title_full | Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| title_fullStr | Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| title_full_unstemmed | Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| title_short | Symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| title_sort | symptomatic bilateral coronary artery fistula to pulmonary artery in elderly patient |
| url | http://www.sciencedirect.com/science/article/pii/S235204771630034X |
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