title: Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT.
abstract: 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.
authors.affiliation: Department of Paediatric Cardiology, Hôpital Necker-Enfants Malades, AP-HP, University Rene Descartes-Paris V, Paris, France.
authors.forename: Davide
authors.initials: D
authors.lastname: Marini
authors.forename: Gabriella
authors.initials: G
authors.lastname: Agnoletti
authors.forename: Francis
authors.initials: F
authors.lastname: Brunelle
authors.forename: Damien
authors.initials: D
authors.lastname: Bonnet
authors.forename: Phalla
authors.initials: P
authors.lastname: Ou
mesh_terms: 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*
chemical_list: D003287:Contrast Media; D007472:Iohexol