Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula.
Congenital coronary artery fistula (CAF) is an infrequent vascular anomaly that establishes a direct link between an epicardial coronary artery and a cardiac chamber, major vessels, or other vascular structures. In this case there was an aneurysmal-CAF between a left main trunk and the right atrium, which was initially diagnosed as a Kawasaki disease by transthoracic echocardiography and subsequently confirmed by coronary angiography and multi-slice CT angiography. A multi-slice CT angiography might well become the modality of choice for the characterization of these rare congenital anomalies.
Shiga
Yuhei
Y
Tsuchiya
Yoshihiro
Y
Yahiro
Eiji
E
Kodama
Sunao
S
Kotaki
Yasutoshi
Y
Shimoji
Eiso
E
Fukuda
Naoka
N
Morito
Natsumi
N
Urata
Makiko
M
Saito
Naoko
N
Niimura
Hideya
H
Mihara
Hiroyuki
H
Yamanouchi
Yoshio
Y
Urata
Hidenori
H
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging*; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D011859:Radiography; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging*