J Korean Soc Radiol.  2010 Mar;62(3):203-205. 10.3348/jksr.2010.62.3.203.

Unusual Coronary Artery Fistula: Left Anterior Descending Coronary Artery - Left Ventricular Fistula Diagnosed by ECG-Gated Multi-Detector Row Coronary CT Angiography

• Oh J
• Song SY
• Choi YW
• Jeon SC

• KMID: 2208913
• DOI: http://doi.org/10.3348/jksr.2010.62.3.203

Abstract

Coronary artery fistulas to cardiac chamber are an uncommon condition. In most cases, coronary arteries empty into the right chambers and left coronary artery-left ventricular fistula is a very rare condition. We report a case of a left anterior descending coronary artery-left ventricular fistula in a 67-year-old man, which was diagnosed by a 64-multi-detector row coronary CT angiography.

MeSH Terms

Aged
Angiography
Coronary Angiography
Coronary Artery Disease
Coronary Vessels
Fistula
Humans
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Coronary CT angiography in a 67-year-old male patient. A. A volume rendering image shows a tortuous branch (arrows) from the distal LAD, which runs posterolaterally on the surface of diaphragmatic wall of the left ventricle. B. A curved MPR image demonstrates the connection of the fistula which terminated in the subvalvar portion of the mitral valve at the basal inferior wall (arrow heads). At the distal portion of the fistula, a focal distortion of the image is seen (arrow). C. Although there are motion artifacts, cropped serial axial scans of the area, indicated by an arrow in figure 1B, clearly show the connection of the fistula.

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