• The heart surgery forum · Jun 2010

    Case Reports

    Coronary artery fistula detected by 64-slice multidetector computed tomography: case report.

    • Yi-Chang Lin, Yi-Ting Tsai, Chih-Yuan Lin, Chung-Yi Lee, Gou-Jieng Hong, and Chien-Sung Tsai.
    • Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
    • Heart Surg Forum. 2010 Jun 1; 13 (3): E198-9.

    AbstractCoronary 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.

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