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Uncommon double fistula between sinus node arteries and right atrium in a patient with atypical chest pain

Roberto Malagò1, Camilla Barbiani, Andrea Pezzato

  • 1Department of Radiology, University of Verona, Policlinico G.B. Rossi, 37134 Verona, Italy. robertomalago@gmail.com

The American Journal of Emergency Medicine
|September 25, 2012
PubMed

Insights

A rare coronary artery anomaly involving a double fistula between the sinus node artery and the right atrium was incidentally found. This case highlights computed tomography coronary angiography

Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Coronary artery anomalies are often asymptomatic and discovered incidentally.
  • Multidetector computed tomography coronary angiography (MDCT-CA) is a key noninvasive imaging modality for coronary assessment.
  • Thin collimation in MDCT-CA allows visualization of small vessels like the sinus node artery.

Observation:

  • A rare anomaly of coronary artery termination was observed.
  • A double fistula was identified between the sinus node artery and the right atrium.
  • The patient presented with atypical chest pain.

Findings:

  • MDCT-CA successfully depicted a rare double fistula involving the sinus node artery and right atrium.
  • The anomaly was found in a patient experiencing atypical chest pain.
  • This case demonstrates the capability of MDCT-CA in visualizing intricate coronary variations.

Implications:

  • Accurate diagnosis of coronary anomalies is crucial for patient management.
  • MDCT-CA plays a vital role in identifying and characterizing complex coronary artery anomalies.
  • Understanding such anomalies can improve diagnostic strategies for patients with atypical chest pain.

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