Multimodality imaging in preparation for surgery of coronary to pulmonary arterial fistulas complicated with a huge coronary aneurysm

Abstract

Coronary to pulmonary arterial fistula complicated with huge coronary aneurysm is a very rare condition. In this paper, we report a patient with bilateral coronary arteries to pulmonary artery fistulas with a giant coronary artery aneurysm. The patient was treated successfully by closure of the fistulas and repair of the coronary artery aneurysm with the preparation of multimodality imaging for surgery. K E Y W O R D Saneurysm, cardiac imaging, coronary artery fistula | 2127 WU et al. and 0.1%-0.8% in those undergoing CAG. 2,3 Only 5% of CAFs originates from the bilateral coronary arteries. 4 15%-19% of CAFs complicates with coronary artery aneurysm (CAA). 2 In our case, we found multiple fistulas to PA originating from bilateral coronary arteries with a LAD aneurysm. Multimodal imaging techniques, including echocardiography, CTA, and CAG, play an inte-