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Review
. 2023 Nov 23:18:e25.
doi: 10.15420/icr.2022.34. eCollection 2023.

Coronary Artery Fistula: A Diagnostic Dilemma

Rajesh Kumar  1   2 , Jathinder Kumar  1 , Cormac O'Connor  1 , Ihsan Ullah  1 , Benjamin Tyrell  2 , Ian Pearson  1 , Sajjad Matiullah  1 , Kevin Bainey  2
Affiliations
Review

Coronary Artery Fistula: A Diagnostic Dilemma

Rajesh Kumar et al. Interv Cardiol. .

Abstract

Coronary artery fistula (CAF), although one of the rare coronary anomalies, is becoming increasingly more detectable in the recent years due to advancements in cardiac diagnostic imaging. Its long-term prognostic implications and importance for the cardiovascular system remain a dilemma for cardiologists and patients. Based on a variety of haemodynamic symptoms and complications, cardiologists must be aware of the characteristics of CAF and the diagnostic importance of multi-slice CT in evaluation, pre-procedural management and follow-up. Both surgical and percutaneous options are available for symptomatic patients or those with complications, while management of asymptomatic CAF remains a viable alternative.

Keywords: CT coronary angiography; CTCA; Coronary artery fistula; coronary angiography.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Examples of Coronary Artery Fistula
Figure 2:
Figure 2:. Imaging in the Diagnosis of Coronary Artery Fistula
Figure 3:
Figure 3:. Coil Embolisation of Coronary Artery Fistula
Figure 4:
Figure 4:. Flow Chart of Classification of Coronary Artery Fistula
Figure 5:
Figure 5:. Examples of Simple and Complex Coronary Artery Fistula
See this image and copyright information in PMC

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