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Traumatic fistula between the left anterior descending coronary artery and a left ventricular pseudoaneurysm
Y Tsushima1, A Haapanen, P B Dean
1Department of Diagnostic Radiology, Turku University Hospital, Kiinamyllynkatu 4-8, SF-20520 Turku, Finland.
Insights
A rare traumatic coronary artery fistula between the left anterior descending artery and a left ventricular pseudoaneurysm was successfully diagnosed and treated. Color Doppler echocardiography aided in identifying this uncommon complication following chest trauma.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Trauma Surgery
Background:
- Traumatic coronary artery fistulas are rare but serious complications following chest injuries.
- Prompt diagnosis and treatment are crucial for managing these vascular lesions.
Observation:
- A 44-year-old male presented with a fistula connecting the left anterior descending coronary artery to a left ventricular pseudoaneurysm.
- This condition developed 6 months after a stab wound to the left anterior chest.
Findings:
- Color Doppler echocardiography initially suggested the presence of the coronary artery fistula.
- Coronary angiography confirmed the diagnosis, revealing the fistula and pseudoaneurysm.
Implications:
- Successful treatment of this rare traumatic fistula highlights the importance of considering unusual diagnoses after chest trauma.
- Color Doppler echocardiography is a valuable non-invasive tool for diagnosing coronary artery fistulas.
Abstract:
A 44-year-old man presented with a fistula of the left anterior descending (LAD) coronary artery to a left ventricular pseudoaneurysm 6 months after a stab injury in the left anterior chest. The color Doppler echocardiography suggested, and angiography confirmed, the diagnosis and the lesion was treated successfully. Traumatic coronary artery fistulas are rare complications, and color Doppler echocardiography proved useful for the diagnosis.