Yoon Ji Young, Lee Sun Hwa
Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Republic of Korea.
Division of Cardiology, Department of Internal Medicine, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Republic of Korea.
J Cardiovasc Comput Tomogr. 2014 Sep-Oct;8(5):404-6. doi: 10.1016/j.jcct.2014.07.004. Epub 2014 Jul 23.
A 58-year-old woman presenting with atypical chest pain showed a turbulent color Doppler signal at the interatrial septum on a transthoracic echocardiography and was found to have a huge coronary arteriovenous fistula originating from the middle right coronary artery and draining into right atrium with a very tortuous course using cardiac multidetector CT. A trivial echocardiographic finding should not be overlooked and could be evaluated thoroughly and noninvasively by multidetector CT.
一名58岁出现非典型胸痛的女性，经胸超声心动图显示房间隔处有紊乱的彩色多普勒信号，心脏多排CT检查发现其患有巨大的冠状动脉瘘，起源于右冠状动脉中段，引流至右心房，走行非常迂曲。超声心动图的细微发现不应被忽视，多排CT可对其进行全面且无创的评估。
