Turk Kardiyol Dern Ars. 2005; 33(3): 161-163

Transthoracic echocardiographic detection of a coronary artery-pulmonary artery fistula

Turgut Karabağ¹, Bülent Altunkeser¹, Kurtuluş Özdemir¹, Fatih Koç¹

Fistulas are the most common anomaly of the coronary arteries. A 48-year-old woman presented with typical chest pain. She had no cardiovascular risk factors and no ischemic signs. Transthoracic echocardiography revealed a diastolic turbulence at the distal part of the pulmonary artery and an aberrant vascular structure on parasternal short-axis views. Coronary angiography showed a fistula from the the left anterior descending artery to the pulmonary artery, associated with an aneurysmal sac 16 mm in diameter, before reaching the pulmonary artery. The patient refused surgical treatment.

Keywords: Chest pain/etiology; coronary aneurysm/radiography; coronary angiography; coronary vessel anomalies/diagnosis; echocardiography, Doppler; fistula/diagnosis; pulmonary artery/ ultrasonography; vascular fistula/complications/radiography

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