ABSTRACT

Multislice computed tomography (MSCT) is an easy, fast and reliable imaging technique for evaluation of the car- diovascular system. 64-slice multidetector CT gives an accurate and noninvasive depiction of coronary arteries and presence of anomalous coronary arteries. Coronary artery fistula is a rare congenital anomaly. It is a connection between one or more of the coronary arteries and a cardiac chamber or great vessel. They are usually discovered as an incidental finding at coronary angiography. In this case report we present a 49-year-old man who complained of shortness of breath and chest pain on exertion with left anterior descending artery (LAD)- main pulmonary artery (MPA) fistula. MSCT showed stenosis of left anterior descending coronary artery. There was fistulization of LAD to MPA as well. (Gazi Med J 2011; 22: 21-3)