Coronary-to-Pulmonary Artery Fistula and Concomitant Acute Coronary Syndrome: Two Cases

Demirelli, Selami; Taş, Muhammed Hakan; Şimşek, Ziya; Duman, Hakan; İpek, Emrah

doi:10.17659/01.2014.0014

Cited by 1 publication

(2 citation statements)

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“…Coronary-topulmonary artery fistula (CPAF) is a subtype of CAF in which a coronary artery communicates with a pulmonary artery; this can be congenital in origin or acquired (1). Although most patients with CPAFs are asymptomatic and these fistulas are incidentally detected (2), some of these anomalies may cause dyspnea, chest pain, or even sudden death (3).…”

Section: Introductionmentioning

confidence: 99%

“…MDCT coronary angiography can provide information on the precise anatomy of coronary arteries and associated findings (5,6). Although there have been a few reports on MDCT evaluation of CPAFs, they are mostly limited in the number of cases evaluated (1,3,7); therefore, the detailed anatomy and clinical implications of CPAFs remain to be elucidated. Therefore, the purpose of this study was to evaluate the incidence, clinical findings, and detailed MDCT coronary angiographic findings of CPAFs.…”

Section: Introductionmentioning

confidence: 99%

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Multi-Detector CT Coronary Angiographic Findings of Coronary-to-Pulmonary Artery Fistula

Bae

Park

Lim

et al. 2017

J Korean Soc Radiol

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Purpose: To evaluate multi-detector CT (MDCT) coronary angiographic findings of coronary-to-pulmonary artery fistula (CPAF). Materials and Methods:We retrospectively reviewed images of patients with CPAF from the coronary CT angiography (CCTA) database obtained with a 64-channel MDCT between January 2008 and March 2011. We analyzed the CCTA findings for feeding arteries, fistula, association with peripulmonary arterial aneurysms, and the presence of communication between the CPAF and bronchial arteries. Results: Fifty-five of the 15042 (0.37%) patients were diagnosed with CPAFs. The feeding artery was single (n = 18) or multiple (n = 37). The fistula had a single drainage site (n = 54) or multiple drainage sites (n = 1). The mean diameter of the fistulous opening was 2.7 ± 1.4 mm. A peripulmonary arterial aneurysm was present in 24 (44%) patients. Communication between CPAF and bronchial arteries was present in eight (14.5%) patients. Conclusion: MDCT coronary angiography can provide comprehensive morphologic details on CPAF and may help in presurgical or preinterventional planning.

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Section: Introductionmentioning

confidence: 99%