Coronary artery to main pulmonary artery fistulae via a Vieussens' arterial ring.
Coronary artery fistulae are rare abnormal communications between a coronary artery and a cardiac chamber or a great vessel which may shunt blood flow away from the myocardial capillary network. Vieussens arterial ring is usually described as a collateral pathway between the left anterior descending and right coronary arteries, pathology of Vieussens arterial ring are exceedingly rare. We present a case of a complex coronary artery to pulmonary artery fistula via an aneurysmal Vieussens arterial ring, with emphasis on computerized tomography and invasive angiography findings and management.
Hirzallah
Mohammad I
MI
University of Jordan, Queen Rania Street, Amman, Jordan. mihh1986@yahoo.com
Horlick
Eric
E
Zelovitzky
Leon
L
D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D003097:Collateral Circulation; D017023:Coronary Angiography / Q000379:methods*; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed