Coronary artery fistula detected by 64-slice multidetector computed tomography: case report.
Coronary artery fistula (CAF), a rare anomaly of a coronary artery, is defined as an anomalous communication between a coronary artery and a cardiac chamber or vessels. Coronary angiography remains the main modality for diagnosing CAF. We present a case of fistulous communication between the left anterior descending coronary artery and the main pulmonary artery. The exact anatomy of the fistula was demonstrated by 64-slice multidetector computed tomography (MDCT). Surgical ligation on a beating heart was carried out. Intraoperative Doppler flow detection was used to evaluate the shunt of the CAF. We prefer MDCT as a new diagnostic modality to provide the detailed anatomy of a CAF.
Lin
Yi-Chang
YC
Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Tsai
Yi-Ting
YT
Lin
Chih-Yuan
CY
Lee
Chung-Yi
CY
Hong
Gou-Jieng
GJ
Tsai
Chien-Sung
CS
D000328:Adult; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*