Coronary Arteriovenous Fistula in Continuity With the Aortic Arch

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Presentation transcript:

Coronary Arteriovenous Fistula in Continuity With the Aortic Arch Takashi Yamauchi, MD, PhD, Shigeyoshi Gon, MD, PhD, Masahito Saito, MD, PhD, Naoki Asano, MD, Kazunori Ota, MD, Kazuho Niimi, MD, Hiroshi Takano, MD, PhD The Annals of Thoracic Surgery Volume 105, Issue 5, Pages e195-e197 (May 2018) DOI: 10.1016/j.athoracsur.2017.12.010 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (a) Catheter coronary angiogram of the left main coronary artery (LCMA) shows a coronary arteriovenous fistula (CAVF) originating from the left anterior descending artery (LAD) to the main pulmonary artery (PA), which formed an aneurysm. (b) Volume-reconstructed electrocardiogram-gated multidetector computed tomography image shows abnormal vessels between the aortic arch and CAVF (arrows), which could not be identified in coronary angiography. The Annals of Thoracic Surgery 2018 105, e195-e197DOI: (10.1016/j.athoracsur.2017.12.010) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Volume-reconstructed electrocardiogram-gated multidetector computed tomography (CT) image shows a tortuous coronary arteriovenous fistula (CAVF) originating from the (a) left main coronary artery (LMCA), (b) left anterior descending artery (LAD), and right coronary artery (RCA) to the main pulmonary artery (PA). (c) Abnormal vessels below the aortic arch were identified by two-dimensional enhanced preoperative CT. The yellow arrow shows the expansion of the aortic arch in the CT image. (Ao = aorta.) The Annals of Thoracic Surgery 2018 105, e195-e197DOI: (10.1016/j.athoracsur.2017.12.010) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions