Coronary arterial malformation depicted at multi-slice CT angiography.
We present a case of a 57-year-old woman with an unremarkable medical history except for a continuous cardiac murmur at the left second and third interspaces. Transthoracic echocardiography revealed an unusual chamber in front of the heart. To evaluate the precise anatomy of this abnormality, multi-slice computed tomographic (MSCT) imaging was performed. MSCT angiography with retrospective ECG gating showed a coronary arterial malformation with fistulous communications to the coronary artery, pulmonary artery and the root of aorta. Images from MSCT coronary angiography can be helpful in understanding the tortuous configuration of the coronary arterial malformation.
Utsunomiya
Daisuke
D
Diagnostic Imaging Center, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Kumamoto-shi, Kumamoto, 861-4193, Japan. d-utsunomiya@skh.saiseikai.or.jp
Nishiharu
Taiji
T
Urata
Joji
J
Ino
Masaki
M
Nakao
Koichi
K
Awai
Kazuo
K
Yamashita
Yasuyuki
Y
D001011:Aorta / Q000002:abnormalities*; D001027:Aortography; D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed