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. 2023 Dec 22;29(3):102181.
doi: 10.1016/j.jaccas.2023.102181. eCollection 2024 Feb 7.

A "Snake-Like" Vessel in the Thorax

Affiliations

A "Snake-Like" Vessel in the Thorax

Eirini Beneki et al. JACC Case Rep. .

Abstract

We report a congenital extracardiac arteriovenous fistula revealed incidentally in a patient undergoing computed tomographic coronary angiography for angina. This clinical vignette panel describes the origin and the trajectory of this rare vascular lesion.

Keywords: arteriovenous malformation; computed tomographic coronary angiography; fistula.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Computed Tomographic Coronary Angiography Depicting the Arteriovenous Fistula Three-dimensional (3D) reconstruction of computed tomographic (CT) angiography dataset showing (A) the origin of an anomalous vessel from the aortic arch (white arrow) travelling toward (B) the roof of the left atrium (white arrow) 3D reconstruction of electrocardiography-gated coronary CT angiographic scan. (C to F) Axial views depicting the tortuous tract of the artery in contact with the roof of the left atrium, toward the interatrial septum, and joining a small vein next to the left circumflex artery, leading to an arteriovenous malformation (yellow arrows).

References

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