J Korean Radiol Soc.  2005 Mar;52(3):183-186. 10.3348/jkrs.2005.52.3.183.

Coronary Arteriovenous Fistula Complicated with Dilated Pulmonary Sinus Confirmed by Multidetector-row CT

• Kim DH
• Kim SK
• Bang DW
• Yum W
• Ryu SW

• KMID: 1834228
• DOI: http://doi.org/10.3348/jkrs.2005.52.3.183

Abstract

Congenital coronary arteriovenous fistula (CAVF) is a rare condition which is characterized by abnormal communication of the coronary artery with the right ventricle, right atrium, left atrium, left ventricle or pulmonary artery. In this paper, we report a case of a 68-year-old woman complaining of resting chest pain for one week. Initially, after performing a coronary arteriogram, the case was diagnosed as a CAVF combined with a pulmonary artery aneurysm. However, a multidetector-row CT (MDCT) was also performed, and the structure initially diagnosed as a pulmonary artery aneurysm was identified as a dilated pulmonary sinus. Subsequently, the patient was treated successfully with a simple ligation.

Keyword

Computed tomography (CT), angiography; Coronary vessels, abnormalities; Coronary arteriovenous fistula

MeSH Terms

Aged
Aneurysm
Arteriovenous Fistula*
Chest Pain
Coronary Vessels
Female
Heart Atria
Heart Ventricles
Humans
Ligation
Pulmonary Artery