Complex AV fistulas involving three coronary arteries, aorta, left internal mammary artery, vertebral artery and left pulmonary artery--demonstration by MDCT.

We describe a rare case of complex AV fistulas involving three coronary arteries, the aorta, the left internal mammary artery, the left vertebral artery, and left pulmonary artery. Multidetector row computed tomography well depicted the complex anatomy of the fistulas by multiplanar reconstruction and three-dimensional techniques.