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A case of coronary artery fistula visualized by 64-slice multidetector CT
Francesco Versaci1, Costantino Del Giudice, Massimiliano Sperandio
1University of Rome Tor Vergata, Rome, Italy.
Background:
A 27-year-old woman was admitted to hospital with a 1-year history of mild dyspnea.
Investigations:
Physical examination, chest radiography, electrocardiography, transthoracic echocardiography, 64-slice multidetector CT and coronary angiography.
Diagnosis:
Fistula originating from the left anterior coronary artery and draining into the right ventricle, in conjunction with an aneurysm of the left anterior descending artery.
Management:
Surgical closure of the fistula using normothermic cardiopulmonary bypass.
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