title: Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula.
abstract: 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.
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Shiga
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Tsuchiya
authors.forename: Eiji
authors.initials: E
authors.lastname: Yahiro
authors.forename: Sunao
authors.initials: S
authors.lastname: Kodama
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kotaki
authors.forename: Eiso
authors.initials: E
authors.lastname: Shimoji
authors.forename: Naoka
authors.initials: N
authors.lastname: Fukuda
authors.forename: Natsumi
authors.initials: N
authors.lastname: Morito
authors.forename: Makiko
authors.initials: M
authors.lastname: Urata
authors.forename: Naoko
authors.initials: N
authors.lastname: Saito
authors.forename: Hideya
authors.initials: H
authors.lastname: Niimura
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mihara
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yamanouchi
authors.forename: Hidenori
authors.initials: H
authors.lastname: Urata
mesh_terms: 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*