Noninvasive diagnosis of congenital left coronary artery to right ventricle fistula by nuclear magnetic resonance imaging

Abstract

In two children with left coronary artery to right ventricle fistula, nuclear magnetic resonance imaging provided high-quality images of the course of the dilated coronary artery and its termination in the right ventricular apex. The advantages of this noninvasive multiplanar imaging technique for visualization of coronary fistulae and dilated coronary arteries are described. This report represents the first description of coronary artery fistula by nuclear magnetic resonance imaging.

Spontaneous Closure of Iatrogenic Coronary Artery Fistula to Left Ventricle After Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy

“…This suggests that echocardiographic examination is useful for detection of acquired coronary fistulas (19) and may be used for noninvasive follow-up of these abnormalities. Other imaging modalities such as magnetic resonance imaging, computed tomography, and radionucleotide cine-angiography have been reported to aid in the diagnosis (20, 21) and act as an assisting tool for coronary angiography, which can directly visualize a fistulous connection (22). …”

Imaging of Coronary Artery Fistulas by Multidetector Computed Tomography: Is Multidetector Computed Tomography Sensitive?

“…However, the accuracy or sensitivity of MDCT in patients having CAF has not been determined before. We described diagnostic sensitivity of MDCT in a series of 13 patients with 15 CAFs. This is the first study as far as we know in current literature.…”