Yusuf SELÇOKİ, Necmettin ÇOLAK, Makbule Nur KANKILIÇ, Ömer Çağlar YILMAZ, Beyhan ERKOYUNCU, Ömer ÇAKIR
Çok kesitli bilgisayarlı tomografi ile gösterilen koroner arter stenozu ve koroner arter fistülü
Çok kesitli bilgisayarlı tomografi (ÇKBT) kardiyovasküler sistemin değerlendirilmesinde basit, hızlı, güvenilir bir gö rüntüleme tekniğidir. Altmış dört (64) kesitli multidedektör bilgisayarlı tomografi, kesin ve non-invaziv olarak ko roner arterlerin ve mevcut koroner anomalilerin tanımlanmasına izin vermektedir. Koroner arter fistülleri oldukçaseyrek görülen konjenital anomalilerdir. Bir veya daha fazla koroner arterin kalp boşlukları veya büyük damarlar ilebağlantısı sonucu oluşur. Genellikle koroner anjiyografi sırasında tesadüfen saptanırlar. Biz bu olgu sunumunda, 49yaşında, semptomatik, eforla nefes darlığı ve göğüs ağrısı olan ve sol anterior inen koroner arter ile ana pulmonerarter arasında fistül saptanan erkek hastayı sunduk. Hastamızda çok kesitli bilgisayarlı tomografi ile sol anterior inenkoroner arterde koroner arter stenozu ve sol anterior inen koroner arter ile ana pulmoner arter arasındaki fistülgörüntülendi. (Gazi Med J 2011; 22: 21-3)
Coronary artery fistula and coronary arterial stenosis demonstrated by multislice computed tomography
Multislice computed tomography (MSCT) is an easy, fast and reliable imaging technique for evaluation of the cardiovascular system. 64-slice multidetector CT gives an accurate and noninvasive depiction of coronary arteries andpresence of anomalous coronary arteries. Coronary artery fistula is a rare congenital anomaly. It is a connectionbetween one or more of the coronary arteries and a cardiac chamber or great vessel. They are usually discovered asan incidental finding at coronary angiography. In this case report we present a 49-year-old man who complained ofshortness 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 toMPA as well. (Gazi Med J 2011; 22: 21-3)
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- Yayın Aralığı: Yılda 4 Sayı
- Yayıncı: Gazi Üniversitesi Tıp Fakültesi
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