Cardiovasc Imaging Asia.  2022 Jan;6(1):13-15. 10.22468/cvia.2021.00402.

Coronary Cameral Fistula and Anomalous Right Coronary Artery: A Case Report

Affiliations
  • 1Department of Radiology, Queen Mary Hospital, Hong Kong, China
  • 2Department of Radiology and Imaging, Queen Elizabeth Hospital, Hong Kong, China
  • 3Department of Diagnostic Radiology, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong, China

Abstract

Coronary artery anomalies are uncommon with variable clinical significance. We present a case of 49-year-old gentleman with atypical chest pain, who was found to have single left coronary artery, anomalous right coronary artery with pre-pulmonic course, as well as coronary-cameral fistula on coronary computed tomography angiogram (CCTA). CCTA demonstrated no significant coronary artery stenosis to suggest ischemic heart disease nor ventricular dysfunction to suggest significant hemodynamic consequence secondary to the coronary anomalies.

Keyword

Coronary artery disease; Coronary vessel anomalies; Vascular fistula; Computed tomography angiography; Congenital heart disease
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