Asymptomatic fistula from a giant aneurysmatic left anterior descending artery to the right ventricular outflow tract.
Coronary artery fistulas are unusual congenital or acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber, great vessel or other structure, bypassing the myocardial capillary network (Jung et al. in Cardiovasc Ultrasound 5:10, 2007). We present a young adult patient with an asymptomatic fistula from a giant aneurysmatic left anterior descending artery to the right ventricular outflow tract, first diagnosed by echocardiography examination and further confirmed by 128-slice computed tomography coronary angiography.
Department of Echocardiography, National Cardiology and Cardiovascular Surgery Institute, 17 Street No. 702 El Vedado, 10400, Havana, Cuba.
Juan Valiente
JV
Mustelier
Department of Echocardiography, National Cardiology and Cardiovascular Surgery Institute, 17 Street No. 702 El Vedado, 10400, Havana, Cuba. jocabrera@infomed.sld.cu.
Julio Oscar Cabrera
JO
Rego
Department of Radiology and Computed Tomography, National Cardiology and Cardiovascular Surgery Institute, Havana, Cuba.
Eddy W Olivares
EW
Aquiles
Department of Radiology and Computed Tomography, National Cardiology and Cardiovascular Surgery Institute, Havana, Cuba.
Luis Roberto
LR
Llerena
Computed tomography coronary angiography; Coronary artery fistula; Echocardiography; Patent arterial ductus