Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT.
Congenital coronary fistulae are a diagnostic challenge. A prerequisite for best management is accurate anatomical evaluation, traditionally provided by invasive catheter angiography. Multislice CT (MSCT) is an emerging noninvasive technique for coronary artery evaluation. We present a 3-year-old boy and highlight the clinical usefulness of new-generation MSCT to study coronary artery fistulae in children. Multiplanar and 3-D reconstruction offer invaluable information to plan the best therapeutic strategy in this setting. We provide evidence for the expanding clinical role of MSCT for coronary artery imaging in children.
Marini
Davide
D
Department of Paediatric Cardiology, Hôpital Necker-Enfants Malades, AP-HP, University Rene Descartes-Paris V, Paris, France.
Agnoletti
Gabriella
G
Brunelle
Francis
F
Bonnet
Damien
D
Ou
Phalla
P
D002675:Child, Preschool; D003287:Contrast Media; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000473:pathology; D005402:Fistula / Q000000981:diagnostic imaging* / Q000473:pathology; D006352:Heart Ventricles / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D021621:Imaging, Three-Dimensional; D007472:Iohexol; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D007472:Iohexol