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Coronary-pulmonary artery fistula diagnosed by multidetector computed tomography
  1. A-R Zeina1,
  2. J Blinder2,
  3. U Rosenschein3,
  4. E Barmeir1
  1. 1Department of Radiology and MAR Imaging Institute, Bnai Zion Medical Centre, Haifa, Israel
  2. 2MAR Imaging Institute, Bikur Holim Hospital, Jerusalem, Israel
  3. 3Department of Cardiology, Bnai Zion Medical Centre
  1. Correspondence to:
 Dr A-R Zeina
 Department of Radiology, Bnai Zion Medical Centre, 47 Golomb Street, PO Box 4940, Haifa 31048, Israel; raufzeina3{at}


Coronary-pulmonary artery fistula is an uncommon cardiac anomaly, usually congenital. Most coronary-pulmonary artery fistulas are clinically and haemodynamically insignificant and are usually found incidentally. This report describes a case of complex coronary-pulmonary artery fistula with two feeding vessels of separate origins: one from the proximal part of the left anterior descending artery and another arising from the right aortic cusp. The complex anatomy of the fistula was shown in detail by multidetector computed tomography using multiplanar reconstruction and 3D volume rendering techniques.

  • CT, computed tomography
  • CPAF, coronary-pulmonary artery fistula
  • ECG gated cardiac CT
  • coronary-pulmonary artery fistula
  • CT coronary angiography
  • congenital anomalies of coronary arteries
  • coronary arteriovenous fistula

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  • Competing interests: none.