CLINICAL CASES   

Chirurgia 2009 February;22(1):61-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Demonstration of coronary to pulmonary fistula in a patient with mitral valve disease with 64-multidetector computed tomography

Arslan C. ¹, Cantürk E. ¹, Kayhan B. ¹, Erol C. ², Küroat Bozkurt A. ³

¹ TDV 29 May›s Hospital, Cardiovascular Surgery Department Istanbul, Turkey 2 TDV 29 May›s Hospital, Radiology Department Istanbul, Turkey 3 Cardiovascular Surgery Department Cerrahpafla Faculty of Medicine University of ‹stanbul, Istanbul, Turkey Divisione di Chirurgia Generale * Servizio di Radiologia Ospedale Regionale di Aosta, Aosta

Congenital coronary artery fistula is a rare heart defect incidentially detected in adult population undergoing coronary angiography. Left parasternal dynamic continuous murmur was heard in addition to the apical diastolic rumble in physical examination of a 53-year-old woman with documented severe mitral stenosis. Coronary arteriography revealed incidentially an arteriovenous malformation between left anterior descending coronary artery and main pulmonary artery but the connection was not seen clearly. The exact anatomy of the malformation and the drainage site of the fistula into the pulmonary artery was delineated successfully by multidetector computed tomography. Opening of the fistula was closed inside the main pulmonary artery and mitral valve was replaced successfully.