Cirsoid aneurysm of coronary arteries associated with arterioventricular fistula evaluated by 64-multidetector CT coronary angiography: depiction of a case.
A female patient with severe pulmonary hypertension was admitted for lung transplant evaluation. As an incidental finding, the chest CT showed diffuse and dilated coronaries, not detected at previous echocardiography. A coronary CT angiography was then performed using a 64-multidetector computed tomography (MDCT) scanner to better evaluate the coronary tree. The images obtained after postprocessing demonstrated tremendously aneurysmatic and tortuous coronary arteries and the presence of a septal branch deepening into the myocardium and penetrating the right ventricle cavity, forming an abnormal arterioventricular fistula. A causal relation between the aneurysms and the fistula is suspected.
Marrone
Gianluca
G
Diagnostic and Interventional Radiology, Mediterranean Institute of Transplantation and High Specialization Therapy (ISMETT), Via Tricomi 1, Palermo, 90127, Italy. gmarrone@ismett.edu
Mamone
Giuseppe
G
Milazzo
Mariapina
M
Caruso
Settimo
S
Baravoglia
Cesar Hernandez
CH
Vitulo
Patrizio
P
Gridelli
Bruno
B
Luca
Angelo
A
D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D011857:Radiographic Image Interpretation, Computer-Assisted; D014057:Tomography, X-Ray Computed / Q000379:methods*