Aneurysm of coronary–pulmonary artery fistula diagnosed non-invasively by contrast echocardiography and multi-detector computed tomography

A 58 year old asymptomatic woman was referred to our medical centre for evaluation of heart murmur. A Levine grade II/VI continuous heart murmur was audible at the left midsternal border. Chest x ray showed prominence of the left atrial border and echocardiography (panel A) revealed a large cystic mass (53×51 mm) in front of the main pulmonary artery. An abnormal feeder vessel appeared to supply the cystic mass …