Abstract

Coronary computed tomography angiography (CCTA) is a non-invasive diagnostic method used (apart from the diagnosis of coronary artery disease) in the diagnosis of malformations of the coronary circulation and monitoring the effects of their treatment. In this paper, the authors present the case of recanalization of the coronary-pulmonary fistula, which was surgically closed in the past. This case highlights that follow-up CCTA after surgical treatment of coronary artery fistula should be performed in every patient. The recommendations regarding the frequency of such follow-up should be made.

Highlights

  • The authors present the case of recanalization of the coronary-pulmonary fistula, which was surgically closed in the past

  • This case highlights that follow-up Coronary computed tomography angiography (CCTA) after surgical treatment of coronary artery fistula should be performed in every patient

  • Due to the patient’s medical history, evaluation of her current cardiovascular health and complaints, the patient was referred to the computed tomography laboratory for coronary computed tomography angiography (CCTA)

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Summary

Introduction

The authors present the case of recanalization of the coronary-pulmonary fistula, which was surgically closed in the past. This case highlights that follow-up CCTA after surgical treatment of coronary artery fistula should be performed in every patient. Her medical history included surgical closure of the fistula between the pulmonary artery and the left anterior descending (LAD) at the age of 45 years. Due to the patient’s medical history, evaluation of her current cardiovascular health and complaints, the patient was referred to the computed tomography laboratory for coronary computed tomography angiography (CCTA).

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