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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Prevalence of coronary artery fistula in adults performing coronary CT angiography among Egyptian population: a single center study

Fig. 2

Sizeable proximal LAD coronary artery fistula with MPA in 52-year-old male patient with typical chest pain. 3D volume rendered images (a–c) showing sizeable tortuous coronary artery fistula arising from ectatic proximal LAD and draining into MPA by sizably noted contrast blush. Tilted semitransparent 3D volume rendered image (d) shows the vessel of origin, fistula size and course and draining site as well. Sagittal oblique MIP image (e) showing the sizeable coronary artery fistula arising from ectatic proximal LAD (arrow) attaining tortuous course and draining into MPA with atherosclerotic plaques noted within LAD as well. Axial MIP image (f) shows the vessel of origin clearly (arrow). Sagittal oblique and axial MIP images (g, h) show abnormal contrast jet inside MPA (arrows) at the site of fistulous connection

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