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Published in: Journal of Cardiothoracic Surgery 1/2008

Open Access 01-12-2008 | Case report

Coronary artery fistula; coronary computed topography – The diagnostic modality of choice

Authors: SA Early, TB Meany, HM Fenlon, J Hurley

Published in: Journal of Cardiothoracic Surgery | Issue 1/2008

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Abstract

Coronary artery fistulae (CAF) are rare anomalies. They are vascular communications between the coronary arteries and other cardiac structures, either cardiac chambers or great vessels. There can be considerable variation in the course of a coronary artery fistula. We report a case of a coronary artery fistula between the left circumflex coronary artery and the right and left atria. CAF are often diagnosed by coronary angiogram, however with the advent of new technologies such as Coronary Computed Tomography Angiography (Coronary CTA) the course and communications of these fistulae can be delineated non-invasively and with greater accuracy.
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Literature
1.
go back to reference Said SA, El Gamal MI, Werf Van der T: Coronary arteriovenous fistulas: collective review and management of six new cases-changing etiology, presentation, and treatment strategy. Clin Cardiology. 1997, 20: 748-752.CrossRef Said SA, El Gamal MI, Werf Van der T: Coronary arteriovenous fistulas: collective review and management of six new cases-changing etiology, presentation, and treatment strategy. Clin Cardiology. 1997, 20: 748-752.CrossRef
2.
go back to reference Neufield HN, Lester RG, Adams O: Congenital communications of a coronary artery with a cardiac chamber or the pulmonary trunk (coronary artery fistula). Circulation. 1961, 24: 171-179.CrossRef Neufield HN, Lester RG, Adams O: Congenital communications of a coronary artery with a cardiac chamber or the pulmonary trunk (coronary artery fistula). Circulation. 1961, 24: 171-179.CrossRef
3.
go back to reference Hirooka K, Hanatani A, Nakatani S, Yasumura Y, Bando K, Miyatake K: Huge saccular aneurysm in a coronary-pulmonary fistula fed by the left and right coronary arteries. Circ J. 2002, 66: 525-7. 10.1253/circj.66.525.CrossRefPubMed Hirooka K, Hanatani A, Nakatani S, Yasumura Y, Bando K, Miyatake K: Huge saccular aneurysm in a coronary-pulmonary fistula fed by the left and right coronary arteries. Circ J. 2002, 66: 525-7. 10.1253/circj.66.525.CrossRefPubMed
4.
go back to reference Abe T, Kamata K, Nakanishi K, Morishita K, Komatsu S: Successful repair of coronary artery-coronary fistula with aneurysm in an adult. Ann Thorac Surg. 1996, 61: 1520-3. 10.1016/0003-4975(96)80001-R.CrossRefPubMed Abe T, Kamata K, Nakanishi K, Morishita K, Komatsu S: Successful repair of coronary artery-coronary fistula with aneurysm in an adult. Ann Thorac Surg. 1996, 61: 1520-3. 10.1016/0003-4975(96)80001-R.CrossRefPubMed
5.
go back to reference Achenbach S, Giesler T, Ropers D, Ulzheimer S, Derlien H, Schulte C, Wenkel E, Moshage W, Bautz W, Daniel WG, Kalender WA, Baum U: Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrographically-gated, multi-slice spiral computed tomography. Circulation. 2001, 103: 2535-2538.CrossRefPubMed Achenbach S, Giesler T, Ropers D, Ulzheimer S, Derlien H, Schulte C, Wenkel E, Moshage W, Bautz W, Daniel WG, Kalender WA, Baum U: Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrographically-gated, multi-slice spiral computed tomography. Circulation. 2001, 103: 2535-2538.CrossRefPubMed
6.
go back to reference Schoept UJ, Becker CR, Ohnesorge BM, Yucel EK: CT of coronary artery disease. Radiology. 2004, 232: 18-37. 10.1148/radiol.2321030636.CrossRef Schoept UJ, Becker CR, Ohnesorge BM, Yucel EK: CT of coronary artery disease. Radiology. 2004, 232: 18-37. 10.1148/radiol.2321030636.CrossRef
7.
go back to reference Liang Y, Kruger RA: Dual slice spiral versus single slice spiral scanning: comparison of the physical performance of tow computed tomography scanners. MedPhys. 1996, 23: 205-220. Liang Y, Kruger RA: Dual slice spiral versus single slice spiral scanning: comparison of the physical performance of tow computed tomography scanners. MedPhys. 1996, 23: 205-220.
8.
go back to reference Schroeder S, Achenbach S, Bengel F, Burgstahler C, Cademartiri F, De Feyter P, George R, Kaufmann P, Kopp AF, Knutti J, Ropers D, Schuijf J, Tops LF, Bax JJ: Cardiac Computed tomography: indications, applications, limitations and training requirements EJH. 2008, 29: 531-556. Schroeder S, Achenbach S, Bengel F, Burgstahler C, Cademartiri F, De Feyter P, George R, Kaufmann P, Kopp AF, Knutti J, Ropers D, Schuijf J, Tops LF, Bax JJ: Cardiac Computed tomography: indications, applications, limitations and training requirements EJH. 2008, 29: 531-556.
Metadata
Title
Coronary artery fistula; coronary computed topography – The diagnostic modality of choice
Authors
SA Early
TB Meany
HM Fenlon
J Hurley
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2008
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-3-41

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