A rare case of coronary fistula evaluated by first-pass radionuclide angiography
- Affiliated Author(s)
- 원경숙; 송봉일; 김해원
- Alternative Author(s)
- Kim, Hae Won; Won, Kyoung Sook; Song, Bong Il
- Journal Title
- Hellenic Journal of Nuclear Medicine
- ISSN
- 1790-5427
- Issued Date
- 2016
- Keyword
- Coronary artery fistula; First-pass radionuclide angiography; Cardiac multidetector computed tomography; Coronary angiography
- Abstract
- Coronary artery stula (CAF) is a rare anomaly that originates from the coronary artery and drains into the
cardiac chamber or the adjacent vasculature. We report a case of CAF in a 77 years old woman with dyspnea
on exertion. Using coronary angiography and cardiac multidetector computed tomography, this
patient was diagnosed with CAF draining into the left bronchial arteries. First-pass radionuclide angiography
(FPRNA) showed early pulmonary recirculation through a left to right shunt. The pulmonary to
systemic blood ow ratio was 1.24. The patient received supportive care with vasodilator and antiplatelet
therapy. First-pass radionuclide angiography was used to provide physiologic informations, to plan the
treatment course for this patient.
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