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Fig. 5 | Insights into Imaging

Fig. 5

From: Chest CT examinations in patients presenting with acute chest pain: a pictorial review

Fig. 5

A 75-year female patient with a history of hypertension and type 2 diabetes mellitus presented with atypical complaints resulting in syncope. Echocardiography was suggestive for a coronary artery fistula to the pulmonary artery. (a,b) Four-mm diameter fistula, (a) volume rendering and (b) MIP image, arising from the proximal part of the left anterior coronary artery (LAD), with a thirteen-mm diameter aneurysm (An) within the fistula. (b) The fistula ends at the main pulmonary artery, note the small contrast jet from the fistula into the pulmonary artery (arrow). Patient had atherosclerotic plaques in the coronary arteries without significant stenosis

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