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Coronary Artery to Pulmonary Artery (L2PA) Fistula

Imaging findings

Enlarged, tortuous coronary arteries communicating with the main pulmonary artery, with multiple arterial feeders (including the conus artery).

Key takeaways

Successful embolization requires identifying all arterial feeders. If not completely closed from the pulmonary side, residual flow may persist.

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