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Bilateral coronary artery to pulmonary trunk fistulae detected by coronary angiography and evaluated by ECG-gated SPECT myocardial perfusion imaging: report of two cases
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Abstract
Coronary artery fistulae (CAF) are anomalies related to coronary artery abnormal termination. This is a very rare congenital malformation accounting for about 0.2–0.4% of congenital cardiac anomalies, but in some patients it can be haemodynamically important. Single-photon emission computed tomography or positron emission tomography myocardial perfusion imaging (MPI) using radioactive agents is widely used in clinical practice for cardiac ischaemia detection as a very sensitive and non-invasive tool. We are going to present 2 patients with bilateral CAFs to the pulmonary trunk without signs of the rest or stress ischaemia in MPI.
Abstract
Coronary artery fistulae (CAF) are anomalies related to coronary artery abnormal termination. This is a very rare congenital malformation accounting for about 0.2–0.4% of congenital cardiac anomalies, but in some patients it can be haemodynamically important. Single-photon emission computed tomography or positron emission tomography myocardial perfusion imaging (MPI) using radioactive agents is widely used in clinical practice for cardiac ischaemia detection as a very sensitive and non-invasive tool. We are going to present 2 patients with bilateral CAFs to the pulmonary trunk without signs of the rest or stress ischaemia in MPI.
Keywords
coronary artery fistula, myocardial perfusion imaging, SPECT, myocardial ischaemia, computed tomography
About this articleTitle
Bilateral coronary artery to pulmonary trunk fistulae detected by coronary angiography and evaluated by ECG-gated SPECT myocardial perfusion imaging: report of two cases
Journal
Issue
Article type
Case report
Pages
514-520
Published online
2014-11-28
Page views
1290
Article views/downloads
1356
DOI
10.5603/FM.2014.0079
Bibliographic record
Folia Morphol 2014;73(4):514-520.
Keywords
coronary artery fistula
myocardial perfusion imaging
SPECT
myocardial ischaemia
computed tomography
Authors
M. Pachowicz
J. Drozd
M. Bełz
R. Maciejewski
B. Chrapko
