Coronary arterial malformation depicted at multi-slice CT angiography

Abstract

We present a case of a 57-year-old woman with an unremarkable medical history except for a continuous cardiac murmur at the left second and third interspaces. Transthoracic echocardiography revealed an unusual chamber in front of the heart. To evaluate the precise anatomy of this abnormality, multi-slice computed tomographic (MSCT) imaging was performed. MSCT angiography with retrospective ECG gating showed a coronary arterial malformation with fistulous communications to the coronary artery, pulmonary artery and the root of aorta. Images from MSCT coronary angiography can be helpful in understanding the tortuous configuration of the coronary arterial malformation.

Hemitruncus Arteriosus: Cardiac Magnetic Resonance Angiography Findings

“…Conventional angiography is an invasive and expensive imaging method which sometimes requires hospitalization in the case of severe complications. In addition, it is a two‐dimensional technique that might have been unable to provide information about the complex anatomy of this anomalous vessel 8 …”

Congenitally corrected transposition of the great arteries: MDCT angiography findings and interpretation of complex coronary anatomy

“…Conventional angiography is an invasive and expensive method which requires being hospitalized patients. In addition, it doesn't obtain information on the three-dimensional course of the vessel [12]. However, it can be used in pressure measurements and an interventional procedure such as angioplasty is planned [7].…”

Single coronary artery with spasm

“…8 MDCT also enables high-quality two-and three-dimensional reformations. These images may be valuable in understanding complex coronary artery anatomy by showing spatial relations among the anomalous coronary artery, great vessels, and heart.…”