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. 2023 Mar 23;5(2):e220245.
doi: 10.1148/ryct.220245. eCollection 2023 Apr.

Giant Congenital Coronary-Cameral Fistula

Danilo de Oliveira Santana Ramos  1 , Artur Ramos Sarmet Dos Santos  1 , André Vaz  1 , Walther Yoshiharu Ishikawa  1
Affiliations

Giant Congenital Coronary-Cameral Fistula

Danilo de Oliveira Santana Ramos et al. Radiol Cardiothorac Imaging. .
No abstract available

Keywords: Anomalous Left Coronary Artery; CT Angiography; Cardiac; Congenital; Coronary Arteries; Fistula; Newborn; Pediatrics; Right Ventricle.

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Conflict of interest statement

Disclosures of conflicts of interest: D.d.O.S.R. No relevant relationships. A.R.S.d.S. No relevant relationships. A.V. No relevant relationships. W.Y.I. No relevant relationships.

Figures

Images of coronary-cameral fistula in a 7-month-old female infant presenting with progressive dyspnea at feedings for 3 months who underwent coronary CT angiography in a 320-section scanner, performed in a single heartbeat under general anesthesia, without heart rate control. Iodinated contrast media was injected intravenously according to body weight (2 mL per kilogram of body weight) at a rate of 2 mL/sec followed by a saline push, and the triggering method applied was bolus tracking. (A) Three-dimensional volume-rendered image of the aorta and left coronary artery focuses on the anomalous terminations in the right ventricle (1, 2, and 3). (B) Endoluminal endoscopic view from inside the right ventricle directed at the anomalous terminations of the coronary artery (1, 2, and 3). (C) Two-dimensional curved multiplanar reconstruction of the left coronary artery depicts the aorta (Ao), the anomalous terminations (1, 2, and 3), and the right ventricle (RV). (D) Surgical view depicts the anomalous terminations (1, 2, and 3) from a right ventriculotomy and (E) appearance after suturing patches over the terminations.
Images of coronary-cameral fistula in a 7-month-old female infant presenting with progressive dyspnea at feedings for 3 months who underwent coronary CT angiography in a 320-section scanner, performed in a single heartbeat under general anesthesia, without heart rate control. Iodinated contrast media was injected intravenously according to body weight (2 mL per kilogram of body weight) at a rate of 2 mL/sec followed by a saline push, and the triggering method applied was bolus tracking. (A) Three-dimensional volume-rendered image of the aorta and left coronary artery focuses on the anomalous terminations in the right ventricle (1, 2, and 3). (B) Endoluminal endoscopic view from inside the right ventricle directed at the anomalous terminations of the coronary artery (1, 2, and 3). (C) Two-dimensional curved multiplanar reconstruction of the left coronary artery depicts the aorta (Ao), the anomalous terminations (1, 2, and 3), and the right ventricle (RV). (D) Surgical view depicts the anomalous terminations (1, 2, and 3) from a right ventriculotomy and (E) appearance after suturing patches over the terminations.
See this image and copyright information in PMC

References

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