Abstract
A 68-year-old male patient presented with chief complaints of chest pain and dyspnea
on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure
was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest
X-ray also did not reveal any significant abnormality. Routine blood investigations
were unremarkable; transthoracic echocardiography also did not show any significant
abnormality. Catheter coronary angiography revealed severe triple vessel disease and
showed possibility of coronary artery fistula. Computed tomography (CT) coronary angiography
showed three aberrant branches arising from right and left coronary arteries forming
a sac which subsequently opened into the main pulmonary artery.
Keywords
Coronary artery fistula - coronary artery pulmonary artery fistula - CT angiography
- fistula
