Dual Coronary-Pulmonary Artery Fistula in a Patient with Severe Bicuspid Aortic Valve Stenosis

Rody G Bou Chaaya; Yasser Sammour; Samarthkumar Thakkar; Ziad Jaradat; William J Gill; Omar Batal

doi:10.14797/mdcvj.1187

Dual Coronary-Pulmonary Artery Fistula in a Patient with Severe Bicuspid Aortic Valve Stenosis

Methodist Debakey Cardiovasc J. 2023 Apr 10;19(1):32-37. doi: 10.14797/mdcvj.1187. eCollection 2023.

Authors

Rody G Bou Chaaya¹, Yasser Sammour¹, Samarthkumar Thakkar¹, Ziad Jaradat², William J Gill², Omar Batal²

Affiliations

¹ Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.
² Indiana University School of Medicine, Indianapolis, Indiana, US.

Abstract

A 62-year-old male presented to the emergency department with acute viral bronchitis and worsening of his chronic dyspnea on exertion. Incidentally, a murmur was detected on physical examination. Extensive work-up, including coronary computed tomography angiography, revealed a rare combination and potential association between severe bicuspid aortic valve stenosis and coronary-pulmonary artery fistulas.

Keywords: aortic stenosis; bicuspid aortic valve; coronary artery; fistula; pulmonary artery.

Publication types

Case Reports

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / complications
Aortic Valve Stenosis* / diagnostic imaging
Bicuspid Aortic Valve Disease*
Constriction, Pathologic
Coronary Artery Disease*
Fistula*
Heart Defects, Congenital*
Humans
Male
Middle Aged
Pulmonary Artery / diagnostic imaging