Coronary Artery Fistula

摘要

A 38-year-old man with a single episode of vague substernal chest pain was referred for evaluation of possible coronary artery disease. His medical history was significant for hypertension and type-II diabetes mellitus. The patient had no prior history of thoracic trauma or surgery. During an exercise stress test, the patient reported chest pain; however, no electrocardiogram (EKG) changes were documented. A cardiac MRI axial black blood (Figure A) and black blood oblique (Figure B), and coronary x-ray angiogram oblique projections (Figures C and D) were performed.