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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(02): 239-241
DOI: 10.4103/ijri.IJRI_399_17
Thoracic Imaging

Coronary-pulmonary fistula with common sac: An uncommon variant

Neeraj Jain
Departments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, India
,
Shashidhar Achar
Departments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, India
,
Naveen K. Garg
Departments Cardiology, SGPGIMS, Lucknow, Uttar Pradesh, India
,
Sunil Kumar
Departments of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, India
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Subject Editor: Financial support and sponsorship Nil.
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Abstract

A 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant abnormality. Routine blood investigations were unremarkable; transthoracic echocardiography also did not show any significant abnormality. Catheter coronary angiography revealed severe triple vessel disease and showed possibility of coronary artery fistula. Computed tomography (CT) coronary angiography showed three aberrant branches arising from right and left coronary arteries forming a sac which subsequently opened into the main pulmonary artery.

Keywords

Coronary artery fistula - coronary artery pulmonary artery fistula - CT angiography - fistula


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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