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Cirsoid Aneurysm of Coronary Arteries Associated with Arterioventricular Fistula Evaluated by 64-Multidetector CT Coronary Angiography: Depiction of a Case

  • Gianluca Marrone
  • Giuseppe Mamone
  • Mariapina Milazzo
  • Settimo Caruso
  • Cesar Hernandez Baravoglia
  • Patrizio Vitulo
  • Bruno Gridelli
  • Angelo Luca
Case Report
  • 68 Downloads

Abstract

A female patient with severe pulmonary hypertension was admitted for lung transplant evaluation. As an incidental finding, the chest CT showed diffuse and dilated coronaries, not detected at previous echocardiography. A coronary CT angiography was then performed using a 64-multidetector computed tomography (MDCT) scanner to better evaluate the coronary tree. The images obtained after postprocessing demonstrated tremendously aneurysmatic and tortuous coronary arteries and the presence of a septal branch deepening into the myocardium and penetrating the right ventricle cavity, forming an abnormal arterioventricular fistula. A causal relation between the aneurysms and the fistula is suspected.

Keywords

Cirsoid aneurysm Coronary-ventricular fistulae Coronary CT angiography 

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Gianluca Marrone
    • 1
  • Giuseppe Mamone
    • 1
  • Mariapina Milazzo
    • 1
  • Settimo Caruso
    • 1
  • Cesar Hernandez Baravoglia
    • 2
  • Patrizio Vitulo
    • 3
  • Bruno Gridelli
    • 4
  • Angelo Luca
    • 1
  1. 1.Diagnostic and Interventional RadiologyMediterranean Institute of Transplantation and High Specialization Therapy (ISMETT)PalermoItaly
  2. 2.Division of Cardiology and HaemodynamicsMediterranean Institute of Transplantation and High Specialization Therapy (ISMETT)PalermoItaly
  3. 3.Division of PneumologyMediterranean Institute of Transplantation and High Specialization Therapy (ISMETT)PalermoItaly
  4. 4.Division of SurgeryMediterranean Institute of Transplantation and High Specialization Therapy (ISMETT)PalermoItaly

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