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An incidentally detected huge coronary arteriovenous fistula: comprehensive evaluation using noninvasive imaging

Ji Young Yoon1, Sun Hwa Lee1

  • 1Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Republic of Korea.

Journal of Cardiovascular Computed Tomography
|September 2, 2014
PubMed

Insights

A turbulent signal on echocardiography revealed a large coronary arteriovenous fistula. Cardiac CT confirmed the diagnosis, highlighting the importance of investigating subtle echocardiographic findings.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Atypical chest pain can present diagnostic challenges.
  • Echocardiography is a primary tool for cardiac assessment.

Observation:

  • A 58-year-old woman with atypical chest pain exhibited a turbulent color Doppler signal at the interatrial septum.
  • This finding on transthoracic echocardiography prompted further investigation.

Findings:

  • Cardiac multidetector computed tomography (MDCT) identified a huge, tortuous coronary arteriovenous fistula.
  • The fistula originated from the middle right coronary artery and drained into the right atrium.

Implications:

  • Subtle echocardiographic signals, even if seemingly trivial, warrant thorough evaluation.
  • Cardiac MDCT offers a noninvasive and effective method for diagnosing complex coronary anomalies.
  • This case underscores the complementary roles of echocardiography and MDCT in cardiovascular diagnosis.

Keywords:
CoronaryEchocardiographyFistulaMultidetector computed tomography

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