Coronary-pulmonary fistula with common sac: An uncommon variant

A 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant...

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Main Authors: Neeraj Jain, Shashidhar Achar, Naveen K. Garg, Sunil Kumar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-04-01
Series:Indian Journal of Radiology and Imaging
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_399_17
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author Neeraj Jain
Shashidhar Achar
Naveen K. Garg
Sunil Kumar
author_facet Neeraj Jain
Shashidhar Achar
Naveen K. Garg
Sunil Kumar
author_sort Neeraj Jain
collection DOAJ
description A 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant abnormality. Routine blood investigations were unremarkable; transthoracic echocardiography also did not show any significant abnormality. Catheter coronary angiography revealed severe triple vessel disease and showed possibility of coronary artery fistula. Computed tomography (CT) coronary angiography showed three aberrant branches arising from right and left coronary arteries forming a sac which subsequently opened into the main pulmonary artery.
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spelling doaj.art-c4376794c674467ea1eba660c931e70c2022-12-21T22:23:14ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082018-04-01280223924110.4103/ijri.IJRI_399_17Coronary-pulmonary fistula with common sac: An uncommon variantNeeraj Jain0Shashidhar Achar1Naveen K. Garg2Sunil Kumar3Departments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, IndiaDepartments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, IndiaDepartments Cardiology, SGPGIMS, Lucknow, Uttar Pradesh, IndiaDepartments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, IndiaA 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant abnormality. Routine blood investigations were unremarkable; transthoracic echocardiography also did not show any significant abnormality. Catheter coronary angiography revealed severe triple vessel disease and showed possibility of coronary artery fistula. Computed tomography (CT) coronary angiography showed three aberrant branches arising from right and left coronary arteries forming a sac which subsequently opened into the main pulmonary artery.http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_399_17coronary artery fistulacoronary artery pulmonary artery fistulact angiographyfistula
spellingShingle Neeraj Jain
Shashidhar Achar
Naveen K. Garg
Sunil Kumar
Coronary-pulmonary fistula with common sac: An uncommon variant
Indian Journal of Radiology and Imaging
coronary artery fistula
coronary artery pulmonary artery fistula
ct angiography
fistula
title Coronary-pulmonary fistula with common sac: An uncommon variant
title_full Coronary-pulmonary fistula with common sac: An uncommon variant
title_fullStr Coronary-pulmonary fistula with common sac: An uncommon variant
title_full_unstemmed Coronary-pulmonary fistula with common sac: An uncommon variant
title_short Coronary-pulmonary fistula with common sac: An uncommon variant
title_sort coronary pulmonary fistula with common sac an uncommon variant
topic coronary artery fistula
coronary artery pulmonary artery fistula
ct angiography
fistula
url http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_399_17
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AT shashidharachar coronarypulmonaryfistulawithcommonsacanuncommonvariant
AT naveenkgarg coronarypulmonaryfistulawithcommonsacanuncommonvariant
AT sunilkumar coronarypulmonaryfistulawithcommonsacanuncommonvariant