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Imaging Findings of Coronary Artery Fistula in Children: A Pictorial Review

Hyun Woo Goo1

  • 1Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ghw68@hanmail.net.

Korean Journal of Radiology
|September 26, 2021
PubMed

Insights

Coronary artery fistulas in children, abnormal connections between coronary arteries and heart vessels, can cause significant issues. CT imaging is crucial for accurate diagnosis and guiding treatment decisions.

Area of Science:

  • Pediatric Cardiology
  • Diagnostic Imaging
  • Thoracic Surgery

Background:

  • Coronary artery fistula (CAF) is an abnormal connection between coronary arteries and cardiac chambers or great vessels.
  • CAFs can lead to hemodynamically significant problems in children due to abnormal blood flow (shunting).

Purpose of the Study:

  • To describe the detailed imaging findings of coronary artery fistula in children.
  • To highlight the pivotal role of CT in diagnosing pediatric coronary artery fistulas.

Main Methods:

  • Review of imaging modalities including echocardiography, cardiac catheterization, cardiac MRI, and cardiac CT.
  • Focus on CT findings for accurate diagnosis of coronary artery fistula in pediatric patients.

Main Results:

  • CT has emerged as a key imaging technique for diagnosing coronary artery fistulas in children.
  • Imaging findings vary depending on the fistula's origin and drainage.

Conclusions:

  • Accurate diagnosis of coronary artery fistula in children is essential for timely management.
  • CT imaging provides detailed anatomical and functional information crucial for surgical or interventional treatment planning.

Keywords:
Cardiac CTCardiac catheterizationChildrenCoronary artery anomaliesEchocardiography

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