AUTHOR=Goyal Ansh , Avery Ryan , Cuttica Michael J. , Flaherty James D. , Malaisrie S. Chris , Mylvaganam Ruben 

TITLE=Case report: Multimodality imaging of unusual coronary to pulmonary collaterals in chronic thromboembolic pulmonary hypertension

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 10 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1204736

DOI=10.3389/fcvm.2023.1204736

ISSN=2297-055X

ABSTRACT=We present unusual coronary-pulmonary collaterals in a 65-year-old with unilateral CTEPH. Perfusion mapping of a dual-energy computed tomography (DECT) study revealed areas of right lung that were minimally perfused despite unilateral occlusion of the right pulmonary artery, leading to the discovery of coronary-pulmonary collaterals via invasive coronary angiography. Pulmonary thromboendarterectomy removed the clot en-bloc. Post-surgery DECT and catheterization confirmed restoration of pulmonary arterial circulation and excellent hemodynamic response. Here, significant perfusion to a unilaterally proximally obstructed lung with DECT was revealed, hastening the discovery of rarely documented coronary-pulmonary artery collaterals.