Detection of Coronary Artery Fistula between the LAD and the Great Cardiac Vein on Coronary CT Angiography

Autor: Ramazan Orkun Onder, Serdar Aslan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the Belgian Society of Radiology, Vol 108, Iss 1, Pp 57-57 (2024)
Druh dokumentu: article
ISSN: 2514-8281
DOI: 10.5334/jbsr.3607
Popis: Coronary artery fistulas (CAFs) are abnormal communications of coronary arteries whereby venous circuits bypass the normal capillaries within the myocardium. Coronary artery-to-cardiac vein fistula is the third most common type of CAF, accounting for 7% of cases. Electrocardiographic-gated cardiac computed tomographic (CT) angiography has emerged as a noninvasive alternative method of choice for diagnosis due to its high spatial and temporal resolution and short acquisition time. Herein, we aimed to present a left anterior descending coronary artery opened into the greater cardiac vein at the distal level, consistent with a coronary artery-to-cardiac vein fistula in a 77-year-old woman. Teaching point: Coronary artery CT angiography provides a detailed evaluation of the complex anatomy of coronary artery fistula without the need for invasive methods.
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