EURORAD ESR

Case 9821

Giant left circumflex coronary fistula to superior vena cava. Imaging findings - treatment - follow up

Author(s)
Kallifatidis A1, Malandri M1, Sola O2, Kondylidis N1, Prousalis A1
1 Department of Radiology St. Luke’s Hospital Thessaloniki-Greece
2 Department of Cardiovascular Surgery St. Luke’s Hospital Thessaloniki-Greece

Sarantaporou 1 60100 Katerini, Greece;
Email:alexandros.kallifatidis@yahoo.gr
 
Patient
male, 47 year(s)
 
 
  • Figure 1
    Coronarography: Giant fistula from the proximal CX

    Giant fistula arising from the proximal part of CX draining probable to the right atrium.

     
    Area of Interest: Cardiac; Imaging Technique: Catheter arteriography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 2
    Coronarography

    Giant fistula arising from the proximal part of CX draining probable to the right atrium.

     
    Area of Interest: Cardiac; Imaging Technique: Catheter arteriography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 3
    Dual-Source CT

    Giant tortuous fistula from the proximal part of CX (MPR).

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 4
    Dual-Source CT

    Giant tortuous fistula from CX to SVC.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 5
    Dual-Source CT

    Giant fistula from CX to SVC (MPR).

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 6
    Dual-Source CT

    LAD high grade stenosis Giant tortuous fistula from CX to SVC (MIP).

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 7
    Dual-Source CT, Follow up - 6-months

    6-month follow up, no recurrence of the fistula.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 8
    Dual-Source CT, 6-month follow up, patent bypass

    Patent bypass LIMA to LAD

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 9
    Dual-Source CT, 6-month follow up, patent bypass

    Patent bypass (great saphenous vein) to CX.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
Giant fistula arising from the proximal part of CX draining probable to the right atrium.
 
Giant fistula arising from the proximal part of CX draining probable to the right atrium.
 
Giant tortuous fistula from the proximal part of CX (MPR).
 
Giant tortuous fistula from CX to SVC.
 
Giant fistula from CX to SVC (MPR).
 
LAD high grade stenosis Giant tortuous fistula from CX to SVC (MIP).
 
6-month follow up, no recurrence of the fistula.
 
Patent bypass LIMA to LAD
 
Patent bypass (great saphenous vein) to CX.
 
 
 
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