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THORACIC IMAGING Table of Contents   
Year : 2018  |  Volume : 28  |  Issue : 2  |  Page : 239-241
Coronary-pulmonary fistula with common sac: An uncommon variant


1 Department of Radio Diagnosis, SGPGIMS, Lucknow, Uttar Pradesh, India
2 Department of Cardiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Neeraj Jain
Department of Radio Diagnosis, SGPGIMS, Lucknow - 226 014, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_399_17

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A 68-year-old male patient presented with chief complaints of chest pain and dyspnea on exertion. On physical examination, his pulse was regular at 82 bpm and blood pressure was 140/80 mmHg. Resting electrocardiography (ECG) was within normal limit and chest X-ray also did not reveal any significant abnormality. Routine blood investigations were unremarkable; transthoracic echocardiography also did not show any significant abnormality. Catheter coronary angiography revealed severe triple vessel disease and showed possibility of coronary artery fistula. Computed tomography (CT) coronary angiography showed three aberrant branches arising from right and left coronary arteries forming a sac which subsequently opened into the main pulmonary artery.


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