Noninvasive Demonstration of Dual Coronary Artery Fistulas to Main Pulmonary Artery with 64-Slice Multidetector-Computed Tomography: A Case Report

Coronary artery fistulas, including coronary pulmonary fistulas, are usually discovered accidently among the adult population when undergoing invasive coronary angiographies. We report here a 58-year-old woman with dual fistulas originating from the left anterior descending coronary artery and right coronary sinus to the main pulmonary artery, demonstrating noninvasively with multidetector-computed tomography (MDCT) and transthoracic echocardiography (TTE).

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Cardiac Computed Tomography Angiography for Imaging Coronary Arteriovenous Malformation: a Case Report

Acta Medica Marisiensis ◽

10.2478/amma-2014-0006 ◽

2014 ◽

Vol 60 (1) ◽

pp. 22-24

Author(s):

Suciu Zsuzsanna ◽

Jakó Beáta ◽

Benedek Theodora ◽

Benedek I

Keyword(s):

Computed Tomography ◽

Case Report ◽

Coronary Artery ◽

Pulmonary Artery ◽

Arteriovenous Malformation ◽

Computed Tomography Angiography ◽

Cardiac Computed Tomography ◽

Main Pulmonary Artery ◽

Cardiac Computed Tomography Angiography ◽

Ionic Contrast

Abstract Background: Coronary arteriovenous malformation is a rare congenital disease consisting mainly in a direct communication between a coronary artery and any one of the four cardiac chambers, coronary sinus, pulmonary arteries or veins. This disease can lead to various cardiovascular events, their severity depending on the degree of the malformation. Case report: We present the case of a 56-year-old male patient, who was admitted to our institution with dyspnea, palpitation and chest pain, having a history of hypertension and hyperlipidemia, and an abnormal electrocardiogram. Physical examination did not reveal any alterations and the cardiac enzymes were in normal ranges. Cardiac computed tomography was performed before any other invasive studies, with a 64-row scanner (Somatom Sensation multislice 64 equipment, Siemens) after intravenous administration of non-ionic contrast material. CT scan revealed a large (2-2.5 mm) coronary fistula originating from the LAD to the main pulmonary artery, and multiple significant atherosclerotic coronary lesions. Coronary angiography confirmed the arteriovenous malformation between LAD and pulmonary artery, associated with three vascular coronary artery disease. Conclusions: Cardiac computed tomography angiography can help for a non-invasive diagnosis of the coronary artery malformations, in the same time revealing anatomic details which can be particulary useful for choosing the appropriate management strategy (surgical planning, interventional treatment or optimum medical treatment)

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Coronary Artery Fistula Detected by 64-Slice Multidetector Computed Tomography: Case Report

The Heart Surgery Forum ◽

10.1532/hsf98.20091166 ◽

2010 ◽

Vol 13 (3) ◽

pp. E198-E199

Author(s):

Yi-Chang Lin ◽

Yi-Ting Tsai ◽

Chih-Yuan Lin ◽

Chung-Yi Lee ◽

Gou-Jieng Hong ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Coronary Artery ◽

Multidetector Computed Tomography ◽

Coronary Artery Fistula

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Bilateral Complex Coronary Artery Pulmonary Artery Fistulas Demonstrated by Multidetector Computed Tomography

Internal Medicine ◽

10.2169/internalmedicine.47.1465 ◽

2008 ◽

Vol 47 (21) ◽

pp. 1945-1946 ◽

Cited By ~ 1

Author(s):

Hiroki Baden ◽

Yoshiki Matsuo ◽

Keisuke Satogami ◽

Kenji Nakamura ◽

Yasushi Okumoto ◽

...

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Pulmonary Artery ◽

Multidetector Computed Tomography

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Applying Preoperative Multidetector Computed Tomography to Bilateral Coronary Artery Fistulas

Journal of the Chinese Medical Association ◽

10.1016/s1726-4901(10)70092-7 ◽

2010 ◽

Vol 73 (8) ◽

pp. 431-434

Author(s):

Hsiao-Ching Huang ◽

Chao-Yu Liu ◽

Tse-Min Lu ◽

Chiao-Po Hsu

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Multidetector Computed Tomography ◽

Coronary Artery Fistulas

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Left main coronary artery compression by a dilated main pulmonary artery and left coronary sinus of Valsalva aneurysm in a patient with heritable pulmonary arterial hypertension and FLNA mutation

Pulmonary Circulation ◽

10.1177/2045893217716107 ◽

2017 ◽

Vol 7 (3) ◽

pp. 734-740 ◽

Cited By ~ 2

Author(s):

Akihiro Hirashiki ◽

Shiro Adachi ◽

Yoshihisa Nakano ◽

Yoshihiro Kamimura ◽

Takeshi Ogo ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Arterial Hypertension ◽

Pulmonary Artery ◽

Coronary Sinus ◽

Left Main Coronary Artery ◽

Main Pulmonary Artery ◽

Sinus Of Valsalva ◽

Left Main ◽

External Compression ◽

Pulmonary Arterial

Left main coronary artery (LMCA) disease due to external compression by a dilated main pulmonary artery (MPA) is an uncommon clinical entity. Here, we describe a 52-year-old woman with pulmonary arterial hypertension (PAH) and anteroseptal old myocardial infarction (OMI). The cause of the OMI was external compression of the LMCA by the dilated MPA and aneurysm of the left coronary sinus of Valsalva. The patient’s sister (aged 56 years) had also been diagnosed with PAH and both women had a novel heterozygous splicing mutation, IVS2-2A > G (c.374-2A > G in NM_001456), in the filamin A ( FLNA) gene. To our knowledge, this is the first report of HPAH which is likely to be due to FLNA mutation and compression of the LMCA between a dilated MPA and aneurysm of the left coronary sinus of Valsalva.

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