Absent proximal right coronary artery with a fistula into the pulmonary vein

Europace. 2012 Sep;14(9):1369-70. doi: 10.1093/europace/eus090. Epub 2012 May 23.

Abstract

A 32-year-old woman was admitted with a third-degree atrioventricular block. A permanent pacemaker was implanted and the patient was discharged. One week later, the patient presented again with a sustained ventricular tachycardia. Coronary angiography and computed tomography imaging with three-dimensional reconstructions revealed the absence of the proximal part of the right coronary artery (RCA) with a fistula into the pulmonary vein. This is the first case describing an absent proximal RCA combined with a pulmonary vein fistula.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arrhythmias, Cardiac / diagnosis
  • Arteriovenous Fistula / diagnosis*
  • Arteriovenous Fistula / diagnostic imaging
  • Coronary Angiography / methods
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Electrocardiography
  • Female
  • Heart Block / diagnosis
  • Heart Block / diagnostic imaging
  • Humans
  • Pulmonary Veins / abnormalities*
  • Pulmonary Veins / diagnostic imaging
  • Recurrence
  • Syncope / diagnosis
  • Tomography, X-Ray Computed / methods