Cardiovasc Imaging Asia.  2019 Apr;3(2):47-51. 10.22468/cvia.2018.00262.

Complex Coronary Cameral Fistulas Evaluated by Multi-Detector CT Angiography: A Report of Three Rare Cases and a Review of the Literature

• Sabarish S
• Kanimozhi
• Nagarajan

• KMID: 2465772
• DOI: http://doi.org/10.22468/cvia.2018.00262

Abstract

Congenital anomalies involving termination of a coronary artery and a fistulous communication with any cardiac chamber, pulmonary artery/vein, superior vena cava, or coronary sinus are defined as coronary cameral fistulas. Multi-detector computed tomography (MDCT) angiography with electrocardiographic gating precisely demonstrates complex and multiple coronary fistulas, their course and drainage routes, and relationships with surrounding structures, and MDCT is the primary modality for diagnosis, pre-treatment planning, and follow up of coronary cameral fistulas. We report three cases involving two elderly adults and a three-year-old child who were suspected to have coronary cameral fistulas and underwent MDCT to confirm the diagnosis and delineate the fistula, emphasising the unique role of MDCT in their diagnosis and management, along with a review of the literature.

Keyword

Coronary cameral fistulas; Coronary arterial fistulas; CT angiography; Anomalies, coronary vessel

MeSH Terms

Adult
Aged
Angiography*
Child
Coronary Sinus
Coronary Vessel Anomalies
Coronary Vessels
Diagnosis
Drainage
Electrocardiography
Fistula*
Follow-Up Studies
Humans
Vena Cava, Superior