[Hemangioma of the left coronary artery with a fistula into the pulmonary artery].
A 32-year-old man had for about four months been suffering from discomfort in the left thorax unrelated to exertion. Coronary angiography revealed a haemangioma, 40 mm in diameter, which arose from the anterior descending branch of the left coronary artery with a connecting fistula to the main pulmonary artery. The tumour could not be demonstrated by either echocardiography or computed tomography, but magnetic resonance imaging showed an inhomogeneous structure in the basal region of the interventricular septum without increased signal intensity after injection of contrast medium. The tumour was not resected because of its small size and the minor symptoms which could not be proven as being tumour related. Repeat examinations (coronary angiography and magnetic resonance imaging) at six-month intervals are planned.
Medizinische Klinik, Ruhr-Universität Bochum, Marienhospital Herne.
M
M
Konermann
B
B
Sorge-Hädicke
J
J
Grötz
W
W
Josephs
H
H
Hötzinger
D000328:Adult; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000209:etiology; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis*; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery
Hämangiom der linken Koronararterie mit Fistel in die Arteria pulmonalis.