Improved visualisation of a coronary artery fistula by the "laid-back" aortogram.
The preoperative assessment of patients with a coronary artery fistula requires exact angiographic evaluation of the coronary artery anatomy. A technique of transvenous balloon occlusion angiography of the aorta is described. This can be applied easily in infants with a persisting foramen ovale. Combination of this technique with the so-called "laid-back" aortogram gave excellent visualisation of a fistula between the right coronary artery and the right ventricle. This technique is a major improvement in the angiographic assessment of infants with coronary artery abnormalities and normal cardiac connections.
Department of Paediatric Cardiology, University Children's Hospital, Erlangen, Germany.
M
M
Hofbeck
F
F
Wild
H
H
Singer
D001027:Aortography / Q000379:methods; D017023:Coronary Angiography / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D005402:Fistula / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D011300:Preoperative Care / Q000379:methods