1. Coronary-Cameral Fistula, Thebesian Veins, and Anomalous Coronary Vein on Cardiac Computed Tomography
- Author
-
Jack Xu, Munthir Mansour, Tarun Pandey, Kedar Jambhekar, and Subhi J. Al'Aref
- Subjects
medicine.medical_specialty ,Fistula ,medicine.medical_treatment ,Population ,Cardiology ,coronary-cameral fistula ,cardiac ct ,anomalous coronary vein ,Internal medicine ,Medicine ,Ventricular outflow tract ,education ,Cardiac catheterization ,education.field_of_study ,Coronary Vein ,business.industry ,coronary anatomy ,General Engineering ,medicine.disease ,Coronary arteries ,medicine.anatomical_structure ,Ventricle ,Cardiac chamber ,thebesian veins ,cardiovascular system ,business - Abstract
A 63-year-old female with a history of hypertension presented with progressively worsening shortness of breath. She underwent a cardiac catheterization and was found to have prominent Thebesian veins as well as anomalous connections between the proximal right coronary artery and the right ventricle. Cardiac computed tomography was ordered for further evaluation and showed a coronary fistula to the right ventricular outflow tract confirming the diagnosis of a coronary-cameral fistula (CCF). CCF are rare congenital anomalous communications that occur between coronary arteries and a cardiac chamber. They are usually an incidental finding and patients are rarely symptomatic. As the use of coronary computed tomography angiography is rapidly expanding, the detection of CCF will likely increase in the general population.
- Published
- 2021