Abstract
Coronary artery fistula is a rare congenital anomaly in which a communication is present between a cardiac chamber or another vascular structure. In this paper, we describe a 52-year-old asymptomatic male patient with a right coronary artery to left ventricle fistula. We demonstrate the effectiveness of 64-MDCT (Multi-detector row computed tomography) in demonstrating the precise anatomy of this fistula in which transthoracic echocardiography was inadequate for evaluation.
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References
Vavuranakis M, Bush CA, Boudoulas H (1995) Coronary artery fistulas in adults; incidence, angiographic characteristics, natural history. Cathet Cardiovasc Diagn 35:116–120
Roberts WC (1986) Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 111:941–963
Yamanaka O, Hobbs RE (1990) Coronary artery anomalies in 126, 595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28–40
Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levine FH (1979) Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 59:849–854
Achenbach S, Ulzheimer S, Baum U et al (2000) Non-invasive coronary angiography by retrespectively ECG-gated multislice spiral CT. Circulation 102:2823–2828
Iskihawa T, Brandt PW (1985) Anomalous origin of the left main coronary artery from the right anterior aortic sinus: angiographic definition of anomalous course. Am J Cardiol 55:770–776
Yang Y, Li Z, Wang X (1998) Assessment of coronary artery fistula by color Doppler echocardiography. Echocardiography 15:67–72
Schmid M, Achenbach S, Ludwig J, Baum U, Anders K, Pohle K et al (2005) Visualization of coronary artery anomalies by contrast-enhanced multi-detector row spiral computed tomography. Int J Cardiol Nov 3 (epub)
Braunwald E, Zipes D, Libby P (eds) (2001) Heart Disease, 6th edn. Saunders, Philadelphia
Rubini G, Ettorre GC, Sabestiani M, Bovenzi F (2000) Evaluation of hemodynamic significance of arteriovenous coronary fistulas: diagnostic integration of coronary angiography and stres/rest myocardial scintigraphy. Radiol Med 100(6):453–458
Wang NK, Hsieh LY, Shen CT, Lin YM (2002) Coronary arteriovenous fistula in pediatric patients: a 17-year institutional experience. J Formos Med Assoc 101(3):177–182
Kamiya H, Yasuda T, Nagamine H, et al (2002) Surgical treatment of congenital coronary artery fistulas: 27 years experience and a review of the literature. J␣Card Surg 17:173–177
Wang S, Wu Q, Hu S, Xu J, Sun L, Song Y, Lu F (2001) Surgical treatment of 52 patients with congenital coronary artery fistulas. Chin Med J 114:752–755
Sunder KR, Balakrishnan KG, Tharakan JA et al (1997) Coronary artery fistula in children and adults: a review of 25 cases with long-term observations. Int J␣Cardiol 58:47–53
Tan KT, Chamberlain-Webber R, McGann G (2005) Characterisation of coronary artery fistula by multi-slice computed tomography. Int J Cardiol Oct 25 (epub)
Chan MSM, Chan IYF, Fung KH, Lee G, Tsui KL, Leung TC (2005) Demonstration of complex coronary–pulmonary artery fistula by MDCT and correlation with coronary angiography. AJR 184:28–32
Data J, White CS, Gilkeson RC, et al (2005) Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology 235:812–818
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Oncel, D., Oncel, G. Right coronary artery to left ventricle fistula—Effective diagnosis with 64-MDCT. Int J Cardiovasc Imaging 23, 287–291 (2007). https://doi.org/10.1007/s10554-006-9136-1
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DOI: https://doi.org/10.1007/s10554-006-9136-1