A tortuous road for septic pulmonary emboli in left-sided endocarditis.

Coronary artery fistulae are rare congenital or acquired connections between the coronary vessels and the cardiac chambers or other vascular structures. We report a case of a woman with mitral valve endocarditis and multiple pulmonary septic emboli. Transesophageal echocardiography revealed a tortuous coronary fistula as the pathway for the septic emboli.

High-pitch prospective ECG-triggered helical coronary computed tomography angiography in clinical practice: image quality and radiation dose.

High-pitch prospective ECG-triggered helical (PTH) protocols for coronary computed tomography angiography (CCTA) have demonstrated adequate image quality (IQ) in small-scaled studies and highly selected patients. Clinical applicability in a general clinical population is uncertain. This study evaluated the implementation of a PTH protocol in a routine clinical cohort, focusing on IQ and radiation dose.