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Failure of Computed Tomography Angiography to Detect a Large Fistula Connecting the Left Anterior Descending Artery to the Left Ventricle Circumflex Artery
  • +2
  • Sam Zeraatian Davani,
  • David Pazooki,
  • Nazafarin Kamalzadeh,
  • Arash Pour Mohammad,
  • Milad Gholizadeh Mesgarha
Sam Zeraatian Davani
Iran University of Medical Sciences
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David Pazooki
Sahlgrenska University Hospital

Corresponding Author:[email protected]

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Nazafarin Kamalzadeh
Iran University of Medical Sciences
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Arash Pour Mohammad
Iran University of Medical Sciences
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Milad Gholizadeh Mesgarha
Iran University of Medical Sciences
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Abstract

41-year-old male with no significant past medical history presented as an outpatient with atypical chest pain and had positive nuclear stress test. The patient subsequently underwent left heart catheterization, which revealed a fistula between the LAD and LV circumflex artery; however, CTA failed to show any evidence of a fistula.