title: A complex coronary artery fistula with aberrant mediastinic and abdominal feeding arteries and pulmonary artery drainage.
abstract: Coronary artery fistulas are rare congenital malformations that can originate from anywhere in the coronary artery system and terminate in any of the cardiac chambers, great veins or pulmonary arteries. We illustrate the unique case of a multidetector computed tomography coronary angiography scan of a young man, showing a complex coronary fistula between the left anterior descending coronary artery and a branch of the left pulmonary artery (with drainage function) with adjunctive mediastinic and abdominal aberrant feeding arteries arising, respectively, from the left internal mammary artery and the celiac trunk.
authors.affiliation: Cardio-Thoracic Radiology Unit, Cardio-Thoracic-Vascular Department, University Hospital S. Orsola, Bologna, Italy. virusso@fastwebnet.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Russo
authors.forename: Giangaspare
authors.initials: G
authors.lastname: Mineo
authors.forename: Giovanni
authors.initials: G
authors.lastname: Rinaldi
authors.forename: Maurizio
authors.initials: M
authors.lastname: Zompatori
authors.forename: Rossella
authors.initials: R
authors.lastname: Fattori
mesh_terms: D000328:Adult; D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D002445:Celiac Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D017023:Coronary Angiography / Q000379:methods; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D011652:Pulmonary Circulation; D014057:Tomography, X-Ray Computed