<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Coronary artery fistulas, a rare anomaly, are represented by an abnormal communication between the coronary arteries and other vascular structures or cardiac chambers and, in most cases, are detected incidentally. Regularly, they do not cause important pathological changes, but if the symptoms persist, they need to be treated. The hemodynamic impact depends on the localization and size of the fistulas. Noninvasive imaging techniques, such as magnetic resonance imaging and multislice computed tomography, are widely used for the detection of coronary anomalies. The presence of symptoms (angina, dyspnea) is the primary indication for the surgical or percutaneous closure of the communications; therefore, a systematic follow-up is indicated in all cases. We present four cases of coronary artery fistulas, without important hemodynamic complications, detected by multislice computed tomography coronary angiography.</p></abstract>

Coronary artery fistulas, a rare anomaly, are represented by an abnormal communication between the coronary arteries and other vascular structures or cardiac chambers and, in most cases, are detected incidentally. Regularly, they do not cause important pathological changes, but if the symptoms persist, they need to be treated. The hemodynamic impact depends on the localization and size of the fistulas. Noninvasive imaging techniques, such as magnetic resonance imaging and multislice computed tomography, are widely used for the detection of coronary anomalies. The presence of symptoms (angina, dyspnea) is the primary indication for the surgical or percutaneous closure of the communications; therefore, a systematic follow-up is indicated in all cases. We present four cases of coronary artery fistulas, without important hemodynamic complications, detected by multislice computed tomography coronary angiography.

Computed Tomography Assessment of Coronary Fistulas

Center of Advanced Research in Multimodality Cardiac Imaging

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Computed Tomography Assessment of Coronary Fistulas"}

Coronary artery fistulas, a rare anomaly, are represented by an abnormal communication between the coronary arteries and other vascular structures or cardiac...

Computed Tomography Assessment of Coronary Fistulas

Published Online: Jul 11, 2017

Page range: 155 - 159

Received: Oct 16, 2016

Accepted: Dec 14, 2016

DOI: https://doi.org/10.1515/jim-2017-0052

Keywords
coronary artery fistula, noninvasive imaging, multislice computed tomography

© 2017 Laura Jáni et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Computed Tomography Assessment of Coronary Fistulas

Published Online: Jul 11, 2017

Page range: 155 - 159

Received: Oct 16, 2016

Accepted: Dec 14, 2016

DOI: https://doi.org/10.1515/jim-2017-0052

Keywordscoronary artery fistula, noninvasive imaging, multislice computed tomography

© 2017 Laura Jáni et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
coronary artery fistula, noninvasive imaging, multislice computed tomography