Coronary arteriovenous malformation, as imaged with cardiac computed tomography angiography: A case series

Tigran Khachatryan1, Sudha Karnwal, Yasmin S Hamirani

  • 1Los Angeles Biomedical Research Institute at Harbor - UCLA Medical Center, Torrance, Ca, USA.

Insights

Coronary Arteriovenous Malformations (AVM) are rare congenital heart conditions. Cardiac computed tomography (CCT) effectively diagnoses these malformations non-invasively, aiding treatment planning.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Congenital Heart Disease

Background:

  • Coronary Arteriovenous Malformations (AVM) are rare congenital anomalies.
  • AVM severity dictates clinical presentation and potential cardiovascular events.
  • Myocardial ischemia can occur due to significant arterial shunting.

Purpose of the Study:

  • To highlight the diagnostic utility of Cardiac Computed Tomography (CCT) for Coronary Arteriovenous Malformations.
  • To present cases of patients with Coronary Arteriovenous Malformations.

Main Methods:

  • Retrospective review of 4 patients with Coronary Arteriovenous Malformations.
  • Non-invasive diagnostic confirmation using multi-row detector cardiac computed tomography (MDCT).

Main Results:

  • MDCT successfully diagnosed Coronary Arteriovenous Malformations in all 4 patients.
  • The study demonstrated CCT's capability in visualizing malformation anatomy.

Conclusions:

  • Coronary Arteriovenous Malformation diagnosis and severity assessment are crucial.
  • CCT angiography is a valuable non-invasive tool for diagnosing AVM and guiding management.
  • Accurate anatomic detail from CCT aids surgical planning and medical management.
Abstract

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