Coronary Artery Fistula: Assessment With Multidetector Computed Tomography and Stress Myocardial Single Photon Emission Computed Tomography

Coronary artery fistula is an unusual coronary artery anomaly. Cardiac catheterization with coronary angiography remains the gold standard for the diagnosis of coronary artery fistula, but the physiologic significance and the relationship of coronary artery fistulas to other structures may not be ap...

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Bibliographic Details
Published in:Clinical nuclear medicine 2009-02, Vol.34 (2), p.96-98
Main Authors: Chen, Meng-Ling, Lo, Hung-Shun, Su, Hung-Yi, Chao, Ing-Ming
Format: Article
Language:English
Subjects:
Adult
Coronary Angiography
Coronary Vessels - pathology
Coronary Vessels - physiopathology
Coronary Vessels - radiation effects
Fistula - diagnostic imaging
Heart - diagnostic imaging
Heart - physiopathology
Humans
Male
Myocardial Perfusion Imaging
Stress, Physiological
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
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Summary:Coronary artery fistula is an unusual coronary artery anomaly. Cardiac catheterization with coronary angiography remains the gold standard for the diagnosis of coronary artery fistula, but the physiologic significance and the relationship of coronary artery fistulas to other structures may not be apparent when it is investigated with this technique. Cardiac multidetector computed tomography and stress myocardial perfusion SPECT can be used as adjuncts to coronary angiography for anatofunctional evaluation of this anomaly. We report the case of a 25-year-old male patient with effort angina in whom cardiac multidetector computed tomography and dipyridamole Tl-201 myocardial SPECT were shown to play an important role in the noninvasive evaluation of coronary artery fistula and provide a physiology-based decision-making assessment for determining the need for intervention of such an anomaly.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e318192c497