Coronary artery fistula with an associated aneurysm detected by 16-slice multidetector row computed tomographic angiography.
We describe a case of a 60-year-old man with effort-induced angina pectoris. Coronary angiography showed an aneurysm in the proximal left anterior descending coronary artery. It was unclear whether it was a coronary artery aneurysm or a coronary fistula with an associated aneurysm. Three-dimensional reconstruction images from 16-slice multidetector row computed tomographic (MDCT) angiography showed an aneurysm that drained into the pulmonary artery. Images from 16-slice MDCT coronary angiography can be helpful in understanding complex coronary artery anatomy.
Hara
Hisao
H
Division of Cardiovascular Medicine, Toho University Ohashi Hospital, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan. harahisa@d1.dion.ne.jp
Moroi
Masao
M
Araki
Tadashi
T
Kunimasa
Taeko
T
Tsunoda
Taro
T
Suzuki
Makoto
M
Sugi
Kaoru
K
Nakamura
Masato
M
D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000000981:diagnostic imaging; D005402:Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed