Coronary fistula to the left ventricle: assessed by computed tomography.

Autor: Mendonça RM; Instituto de Radiologia de Natal, RN, Brasil. moreno@natal.digi.com.br, Bandeira RL, Fonseca FJ, Macedo Filho R
Jazyk: English; Portuguese; Spanish; Castilian
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2011 Oct; Vol. 97 (4), pp. e82-5.
DOI: 10.1590/s0066-782x2011001300017
Abstrakt: Coronary artery fistulas are rare and are most often diagnosed by echocardiography or by cine-angiocardiography. However, the computed tomography angiography (CTA) of coronary arteries has been gaining ground. The incidence of this disease is very low, with a more frequent occurrence of fistulas originating in the right coronary artery. There is a higher incidence of coronary artery fistulas to right heart chambers, with coronary artery fistulas to the left ventricle (LV) being rare. Treatment can be surgical or percutaneous. This report describes a case of coronary fistula to left ventricle diagnosed by CT angiography of coronary arteries in a hypertensive and asymptomatic 46-year-old male, who was tested positive for ischemia in an exercise test. The CT angiography ruled out coronary obstructive disease, but it revealed a coronary fistula to the left ventricular cavity.
Databáze: MEDLINE