Related Experiment Video

Updated: Jun 2, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
04:40

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

Non-invasive recognition of generalized coronary arteriosystemic fistulae by contrast echocardiography and

Jeong Joo Woo1, Young Youp Koh, Sung Il Ha

  • 1Department of Radiology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.

The International Journal of Cardiovascular Imaging
|April 13, 2011
PubMed

Insights

Generalized coronary arteriosystemic fistulae, rare conditions where all major coronary arteries drain into the left ventricle, can cause myocardial ischemia. Non-invasive imaging aids early recognition of these complex fistulae.

Area of Science:

  • Cardiology
  • Radiology

Background:

  • Coronary artery fistulae are typically found incidentally during invasive procedures.
  • Generalized coronary arteriosystemic fistulae involve all three major coronary arteries draining into the left ventricle.

Observation:

  • A 73-year-old female presented with exertional dyspnea, an anginal equivalent.
  • The patient was diagnosed with generalized coronary arteriosystemic fistulae.

Findings:

  • Generalized coronary arteriosystemic fistulae can lead to myocardial ischemia and left ventricular diastolic volume overload due to a left-to-left shunt.
  • Transthoracic contrast echocardiography and multidetector computed tomography (MDCT) coronary angiography were crucial for non-invasive diagnosis.
  • Imaging revealed a network of small vessels exclusively draining into the left ventricle.

Implications:

  • This case highlights the diagnostic utility of non-invasive imaging modalities in identifying generalized coronary arteriosystemic fistulae.
  • Further understanding of the clinical and hemodynamic consequences of these shunts is needed.
  • Early recognition through advanced imaging can potentially guide management strategies for patients with this rare condition.

More Related Videos

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Retrograde Perfusion and Filling of Mouse Coronary Vasculature as Preparation for Micro Computed Tomography Imaging10:16

Retrograde Perfusion and Filling of Mouse Coronary Vasculature as Preparation for Micro Computed Tomography Imaging

Published on: February 10, 2012

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...