OBJECTIVE This study aimed to assess the incidence of coronary anomalies using 64-multi-slice coronary computed tomography (MSCT). METHODS The diagnostic MSCT scans of 745 consecutive patients were reviewed. RESULTS The incidence of coronary anomalies was 4.96%. The detected coronary anomalies included the conus artery originating separately from the right coronary sinus (RCS) (n = 8, 1.07%...

Five patients have had the common features of pulmonary atresia or severe stenosis associated with a septal defect and a coronary artery-to-pulmonary artery (CA-PA) fistula. Four had pulmonary valvular atresia, and one had severe pulmonary stenosis. In all five, the CA-PA fistula contributed the principal component of the pulmonary blood flow. Cyanosis, continuous murmur, right ventricular hype...

A coronary artery-left ventricular fistula (CAF) is an extremely rare anatomical abnormality in which blood drains directly from a coronary artery into the left ventricle. CAF may cause myocardial ischaemia and angina. Myocardial contrast echocardiography (MCE) is a non-invasive technique which assesses myocardial perfusion. We describe a patient with CAF in whom transmural myocardial ischaemia...

A 47 year old man developed a fistula from the right ventricular branch of the right coronary artery to the right ventricular cavity in association with distal occlusion of the main trunk of the right coronary artery. There was no clinical or electrocardiographic evidence of acute myocardial infarction.

A patient with preoperative pulmonary hypertension and a large left to right intracardiac shunt underwent surgical correction of a complex cardiac anomaly and required extracorporeal life support for unexplained ventricular dysfunction following the procedure. Following recovery, a fistulous connection between the right coronary artery and main pulmonary artery was demonstrated. Implications an...

Fistulous communication from the coronary artery to the left ventricle (LV) is extremely rare and has received little attention in the literature. Moreover, a case of coronary artery fistula (CAF) from a diagonal branch of the left anterior descending coronary artery to the LV has been reported only once in the literature. Herein, we report a case of CAF from a diagonal branch of the left anter...

A 17 year old girl with a congenital right coronary artery to coronary sinus fistula presented with recurrent septic pulmonary embolism secondary to tricuspid valve endocarditis. The diagnosis was made on the basis of echocardiography and cardiac angiography.

*To whom correspondence should be addressed. Email: [email protected] artery (RCA) was dominant with no lesion, but a fistula was seen connecting the RCA to the main pulmonary artery (PA) [Figure 1]. A congenital coronary artery fistula (CAF) is a rare identity defined as an abnormal communication between the coronary artery and either cardiac chambers, great vessels, coronary sinus or other ...

A case with fistulas from both coronary arteries and the bronchial artery to the pulmonary artery is reported. We believe this is the first case report of an uncommon form of complex arteriovenous fistula diagnosed by selective angiography.

To cite: Lumley M, Booker A, Clapp B. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012007450 DESCRIPTION A 70-year-old man was transferred due to progressive angina with a history of severe aortic valve stenosis and multivessel coronary artery disease treated with biological aortic valve replacement and two-vessel coronary artery bypass surgery (CABG) 1 year p...