EURORAD ESR

Case 12769

Choking sensation in chest and shortness of breath for 10 years

Author(s)
Li Bang-Xue, Guo Shun-Lin, Lei Jun-Qiang, Zhai Yan-Nan

730000 Lanzhou
Email:544507636@qq.com
 
Patient
male, 33 year(s)
 
 
  • Figure 1
    Chest X-ray

    Chest X-ray (Posteroanterior radiograph) showed an abnormal shadow on the left cardiac border.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Conventional radiography; Procedure: Localisation; Special Focus: Pathology;
     
     
  • Figure 2
    Doppler echocardiography
     

    Doppler echocardiography revealed aortic insufficiency and enlargement of LV.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Fistula;

    Doppler echocardiography revealed a dilatation in the aorta and RCA, a fistula draining into the left ventricle.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 3
    Coronary CT
     

    MIP showed a coronary fistula connected with the LV.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: CAD; Special Focus: Pathology;

    MIP showed the CAF originating from the RCA, which was dilated and tortuous and connected with the LV.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: CAD; Special Focus: Pathology;

    VR showed a coronary fistula and aneurysmal dilatation connection to the LV, as well as expansion of the ascending aortic lumen and the aortic sinus.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: CAD; Special Focus: Pathology;
     
     
Chest X-ray (Posteroanterior radiograph) showed an abnormal shadow on the left cardiac border.
 
Doppler echocardiography revealed aortic insufficiency and enlargement of LV.
 
Doppler echocardiography revealed a dilatation in the aorta and RCA, a fistula draining into the left ventricle.
 
MIP showed a coronary fistula connected with the LV.
 
MIP showed the CAF originating from the RCA, which was dilated and tortuous and connected with the LV.
 
VR showed a coronary fistula and aneurysmal dilatation connection to the LV, as well as expansion of the ascending aortic lumen and the aortic sinus.
 
 
 
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