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A case of coronary artery fistula visualized by 64-slice multidetector CT

Nature Clinical Practice Cardiovascular Medicine volume 6, pages 57–60 (2009)Cite this article

Abstract

Background A 27-year-old woman was admitted to hospital with a 1-year history of mild dyspnea.

Investigations Physical examination, chest radiography, electrocardiography, transthoracic echocardiography, 64-slice multidetector CT and coronary angiography.

Diagnosis Fistula originating from the left anterior coronary artery and draining into the right ventricle, in conjunction with an aneurysm of the left anterior descending artery.

Management Surgical closure of the fistula using normothermic cardiopulmonary bypass.

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Figure 1: Diagnostic investigations undertaken at presentation demonstrated that the patient had an anomalous coronary anatomy.
Figure 2: Results of multidetector CT, which was performed to visualize and identify clearly the fistula in the right ventricle.
Figure 3: Photographs that document surgical closure of the patient's fistula, performed under cardiopulmonary bypass.

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Authors and Affiliations

  1. F Versaci is an Aggregate Professor in the Department of Cardiology, C Del Giudice is a Resident in the Department of Cardiac Surgery, G Simonetti is a Professor and Chief of the Department of Diagnostic Imaging and Interventional Radiology, and L Chiariello is a Professor and Chief of the Department of Cardiac Surgery, M Sperandio is a Radiologist, all at the Policlinico Tor Vergata, University of Rome Tor Vergata, Rome, Italy.,

    Francesco Versaci, Costantino Del Giudice, Massimiliano Sperandio, Giovanni Simonetti & Luigi Chiariello

Authors
  1. Francesco Versaci
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  2. Costantino Del Giudice
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  3. Massimiliano Sperandio
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  4. Giovanni Simonetti
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  5. Luigi Chiariello
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Corresponding author

Correspondence to Luigi Chiariello.

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The authors declare no competing financial interests.

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Versaci, F., Del Giudice, C., Sperandio, M. et al. A case of coronary artery fistula visualized by 64-slice multidetector CT. Nat Rev Cardiol 6, 57–60 (2009). https://doi.org/10.1038/ncpcardio1413

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