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.
Cardioangiologic Center Bethanien, Im Prüfling 23, 60489 Frankfurt, Germany. h.gufler@ccb.de
Hubert
H
Gufler
Thomas
T
Voigtlander
Bernd
B
Nowak
Annett
A
Magedanz
Axel
A
Schmermund
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*