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Dual Coronary-Pulmonary Artery Fistula in a Patient with Severe Bicuspid Aortic Valve Stenosis Cover

Dual Coronary-Pulmonary Artery Fistula in a Patient with Severe Bicuspid Aortic Valve Stenosis

Open Access
|Apr 2023

Figures & Tables

Figure 1

Echocardiogram of short axis view showing a bicuspid valve with increased velocity across the valve; see also at https://youtu.be/4C2kncWIOqM.

Video 1

Echocardiogram of short axis view showing a bicuspid valve with increased velocity across the valve; see also at https://youtu.be/4C2kncWIOqM.

Video 2

Echocardiogram of long axis color Doppler view showing a bicuspid valve with severe stenosis; see also at https://youtu.be/Y4cAeFUFoPs.

Video 3

Coronary angiography of fluoroscopy showing a coronary artery fistula arising from the proximal right coronary artery; see also at https://youtube.com/shorts/yZ3eEaNSuPw.

Video 4

A coronary angiography of fluoroscopy showing a coronary artery fistula arising from the mid-left anterior descending artery and draining into the main pulmonary artery; see also at https://youtube.com/shorts/gHFhO8Gxb8c.

Figure 2

A coronary computed tomography angiography 3-dimensional (3D) reconstruction showing a coronary artery fistula arising from the left anterior descending artery joining another fistula arising from the right coronary artery, both draining into the main pulmonary artery. (A) C1: left anterior descending artery; C2: left anterior descending artery fistula; C3: right coronary artery fistula; C4: right coronary artery; C5: drainage into the pulmonary artery; C6: ectasia of the ascending aorta; (B) arrow: fistula connecting to the right coronary artery; (C) arrow: fistula connecting to the left anterior descending artery; (D) 3D reconstruction of the fistula excluding the right ventricle.

Figure 3

A coronary computed tomography angiography axial view showing the course of the fistula.

DOI: https://doi.org/10.14797/mdcvj.1187 | Journal eISSN: 1947-6108
Language: English
Page range: 32 - 37
Submitted on: Nov 15, 2022
Accepted on: Jan 11, 2023
Published on: Apr 10, 2023
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2023 Rody G. Bou Chaaya, Yasser Sammour, Samarthkumar Thakkar, Ziad Jaradat, William J. Gill, Omar Batal, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.