Left circumflex coronary artery fistula to the superior vena cava: assessment of the exact anatomy by multidetector CT.
A 62-year-old woman with mild dyspnea on exertion underwent coronary angiography. A large fistula of the left circumflex artery was found but the exit site of this unusual anomaly could not be established. Contrast-enhanced multidetector computed tomography of the coronary arteries was performed which allowed clear identification of the drainage of the fistula into the superior vena cava.
Gufler
Hubert
H
Cardioangiologic Center Bethanien, Im Prüfling 23, 60489 Frankfurt, Germany. h.gufler@ccb.de
Voigtlander
Thomas
T
Nowak
Bernd
B
Magedanz
Annett
A
Schmermund
Axel
A
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging*