Three-Dimensional Computed Tomographic Analysis of a Rare Left Coronary Artery to Left Ventricle Fistula
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A 16-month-old child with a known large coronary fistula between the left coronary artery and left ventricle was referred for computed tomographic (CT) coronary angiography to further characterize the anatomy in anticipation of transcatheter device closure. The diagnosis of this rare coronary anomaly was made initially by echocardiography in the newborn period, and over time, the left ventricle had become dilated with evidence of diastolic dysfunction.
A CT coronary angiography was performed using a dual-source CT scanner (Somatom Definition; Siemens Healthcare, Forchheim, Germany) with the child under general anesthesia. Postprocessing was performed on an Aquarius 3D Workstation (TeraRecon Inc., San Mateo, CA, USA).
KeywordsCompute Tomographic Angiography Compute Tomographic Coronary Angiography Left Coronary Artery Left Main Coronary Artery Coronary Artery Fistula
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