Coronary Artery to Coronary Sinus Shunt
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Cite this case
[...]. Coronary Artery to Coronary Sinus Shunt. CTICases. Published May 29, 2015. https://str-case-explorer.pages.dev/c/6yg9f
Imaging findings
Gated CT shows a large, dilated right coronary artery originating normally, which then loops around the heart in the atrioventricular groove and dumps into the coronary sinus. The left coronary system appears healthy.
Key takeaways
A significantly dilated coronary artery often indicates a shunt. This finding in an 85-year-old patient suggests an acquired etiology, potentially causing coronary steal syndrome, presenting with chest pain. These are not typically congenital in this age group.
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