Pediatric Cardiology

, Volume 34, Issue 3, pp 774–776 | Cite as

Three-Dimensional Computed Tomographic Analysis of a Rare Left Coronary Artery to Left Ventricle Fistula

  • Kelvin LeeEmail author
  • Gary H. Danton
  • Richard E. Kardon
Images in Pediatric Cardiology

Case Report

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).

The maximum-intensity projection image shown in Fig.  1demonstrates the course of the fistula (yellow arrow) as it originates from a dilated left main coronary artery and drains into the left ventricle. The straightened planar reformatted image and its...


Compute Tomographic Angiography Compute Tomographic Coronary Angiography Left Coronary Artery Left Main Coronary Artery Coronary Artery Fistula 
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Supplementary material

Supplementary material 1 (MPG 2762 kb)

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Kelvin Lee
    • 1
    Email author
  • Gary H. Danton
    • 2
  • Richard E. Kardon
    • 1
  1. 1.Division of Pediatric CardiologyMiller School of Medicine, University of MiamiMiamiUSA
  2. 2.Department of RadiologyMiller School of Medicine, University of MiamiMiamiUSA

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