Fistula from left main coronary artery to pulmonary trunk
- PDF / 333,347 Bytes
- 2 Pages / 595 x 842 pts (A4) Page_size
- 18 Downloads / 255 Views
Neth Heart J https://doi.org/10.1007/s12471-020-01405-1
Fistula from left main coronary artery to pulmonary trunk N. Papakonstantinou · N. Miaris · K. Argyrakis · S. Mitsiadis · A. Dimopoulos · G. Gavrielatos · N. Patsourakos · N. Kasinos · A. Theodosis-Georgilas · E. Pisimisis
© The Author(s) 2020
Answer The invasive coronary angiography showed a fistula originating from the left main coronary artery and no other haemodynamically significant coronary arterial lesions. Although the old age of our patient could discourage any further investigation (81-year-old patient with most probably a lifetime coronary fistula), computed tomography coronary angiography (CTCA) was performed and revealed this fistula draining into the main pulmonary artery (Fig. 1). Single-photon emission computed tomography with technetium99m sestamibi showed permanent myocardial perfusion deficits with no stress ischaemic disturbances. Optimal medical treatment was adopted with good patient’s response. Coronary-to-pulmonary artery fistulas are rare coronary connections (literature rates of
Data Loading...
