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Comparative Study
. 2008 Jan;31(1):41-7.
doi: 10.1002/clc.20286.

Imaging of coronary artery fistulas by multidetector computed tomography: is multidetector computed tomography sensitive?

Fehmi Kacmaz  1 , Nilgun Isiksalan Ozbulbul, Omer Alyan, Orhan Maden, Ahmet Duran Demir, Ramazan Atak, Kubilay Senen, Ali Riza Erbay, Yucel Balbay, Tulay Olcer, Erdogan Ilkay
Affiliations
Comparative Study

Imaging of coronary artery fistulas by multidetector computed tomography: is multidetector computed tomography sensitive?

Fehmi Kacmaz et al. Clin Cardiol. 2008 Jan.

Abstract

Background: Coronary angiography is the gold standard for diagnosing coronary artery fistulas (CAFs). Multidetector computed tomography (MDCT) is a recently developed imaging technique for detecting coronary artery stenosis, coronary artery anomalies, and coronary artery fistulas and their courses.

Objective: We aimed to determine accuracy or sensitivity of MDCT in patients having CAF.

Method: We evaluated 13 patients with 15 CAFs detected earlier by coronary angiography. MDCT was carried out on all patients and the results were compared with coronary angiography, following which, sensitivity of MDCT was detected.

Results: Eleven of 15 CAFs were shown on MDCT and the overall sensitivity of MDCT was found to be 73%. Seven of 8 CAFs that coursed between two vascular structures were detected and the sensitivity of MDCT in this group was found to be 87%. However, the sensitivity of 58% of MDCT in patients with fistula coursing between coronary arteries and cardiac chambers was found.

Conclusion: Although coronary angiography is the gold standard diagnostic test for detection of CAF, MDCT may be an alternative test, especially, for CAF coursing between vascular structures, to detect origin, course, and the drainage site of fistula through its excellent spatial resolution and ability to show relationship of anatomic structures.

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References

    1. Robert WC: Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 1986; 111: 941–963. - PubMed
    1. Yamanaka O, Hobbs RE: Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21: 28–40. - PubMed
    1. Lin FC, Chang HJ, Wen MS, Wu D: Multiplane transesophageal echocardiography in the diagnosis on congenital coronary artery fistula. Am Heart J 1995; 130: 1236–1242. - PubMed
    1. Wilcox WD, Neal MJ, Alpert BS, Taylor AB, Dooley KJ: Localized occurrence of congenital coronary artery fistula in the southeast United States. Am J Cardiol 1986; 57: 361–363. - PubMed
    1. Gandy KL, Rebeiz AG, Wang A, Jaggers JJ: Left main coronary artery‐to‐pulmonary artery fistula with severe aneurysmal dilatation. Ann Thorac Surg 2004; 77: 1081–1083. - PubMed

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