title: Absent proximal right coronary artery with a fistula into the pulmonary vein.
abstract: A 32-year-old woman was admitted with a third-degree atrioventricular block. A permanent pacemaker was implanted and the patient was discharged. One week later, the patient presented again with a sustained ventricular tachycardia. Coronary angiography and computed tomography imaging with three-dimensional reconstructions revealed the absence of the proximal part of the right coronary artery (RCA) with a fistula into the pulmonary vein. This is the first case describing an absent proximal RCA combined with a pulmonary vein fistula.
authors.affiliation: Charité - Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik mit Schwerpunkt Kardiologie, Augustenburger Platz 1, 13353 Berlin, Germany. florian.blaschke@charite.de
authors.forename: Florian
authors.initials: F
authors.lastname: Blaschke
authors.forename: Alexander
authors.initials: A
authors.lastname: Baur
authors.forename: Mattias
authors.initials: M
authors.lastname: Roser
authors.forename: Philipp
authors.initials: P
authors.lastname: Attanasio
authors.forename: Cemil
authors.initials: C
authors.lastname: Ozcelik
authors.forename: Wilhelm
authors.initials: W
authors.lastname: Haverkamp
authors.forename: Leif-Hendrik
authors.initials: LH
authors.lastname: Boldt
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012008:Recurrence; D013575:Syncope / Q000175:diagnosis; D014057:Tomography, X-Ray Computed / Q000379:methods