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Coronary Artery Fistula Unmasking the Absence of Left Pulmonary Artery in an Adult

Authors :
Holger H. Sigusch
Andreas Hansch
Torsten Doenst
Source :
The Thoracic & Cardiovascular Surgeon Reports, Vol 09, Iss 01, Pp e9-e10 (2020)
Publication Year :
2020
Publisher :
Georg Thieme Verlag KG, 2020.

Abstract

Coronary artery fistulae are an incidental finding in patients undergoing coronary angiography or computed tomography (CT) coronary angiography. A 60-year-old man with known coronary artery disease presented with dyspnea. Coronary angiography revealed a large fistula arising from the circumflex artery (CX) without a clear intrathoracic target vessel or chamber in the heart. CT angiography revealed the agenesis of the left pulmonary artery. The fistula arising from the CX ensured left lung tissue supply. Unilateral absence of a pulmonary artery is an extremely rare condition. In this case, the identification of a fistula from the heart triggered the correct diagnosis.

Details

Language :
English
ISSN :
21947635 and 21947643
Volume :
09
Issue :
01
Database :
Directory of Open Access Journals
Journal :
The Thoracic & Cardiovascular Surgeon Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.77bf59d0975242ca8693cb6d29474a32
Document Type :
article
Full Text :
https://doi.org/10.1055/s-0040-1702212