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Coronary-pulmonary artery fistula diagnosed by multidetector computed tomography

¹ Department of Radiology and MAR Imaging Institute, Bnai Zion Medical Centre, Haifa, Israel
² MAR Imaging Institute, Bikur Holim Hospital, Jerusalem, Israel
³ Department of Cardiology, Bnai Zion Medical Centre

Correspondence to:
Correspondence to:
Dr A-R Zeina
Department of Radiology, Bnai Zion Medical Centre, 47 Golomb Street, PO Box 4940, Haifa 31048, Israel; raufzeina3{at}hotmail.com

Coronary-pulmonary artery fistula is an uncommon cardiac anomaly, usually congenital. Most coronary-pulmonary artery fistulas are clinically and haemodynamically insignificant and are usually found incidentally. This report describes a case of complex coronary-pulmonary artery fistula with two feeding vessels of separate origins: one from the proximal part of the left anterior descending artery and another arising from the right aortic cusp. The complex anatomy of the fistula was shown in detail by multidetector computed tomography using multiplanar reconstruction and 3D volume rendering techniques.

Abbreviations: CT, computed tomography; CPAF, coronary-pulmonary artery fistula

Keywords: ECG gated cardiac CT; coronary-pulmonary artery fistula; CT coronary angiography; congenital anomalies of coronary arteries; coronary arteriovenous fistula