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Congenital - Cardiothoracic Imaging
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- Congenital: Cardiothoracic imagingOpen Archive
When a coronary artery fistula is not simply a fistula: Using multimodality imaging to demonstrate an unusual embryologic remnant
The Journal of Thoracic and Cardiovascular SurgeryVol. 156Issue 1p358–362Published online: February 17, 2018- Arash Salavitabar
- Anjali Chelliah
- David Kalfa
- Matthew A. Crystal
Cited in Scopus: 1Our approach to this unusual coronary artery fistula underscores complementary roles of multimodality imaging in delineating complex coronary artery anatomy. Murmur evaluation of this infant diagnosed right coronary artery (RCA) ostial atresia with compensatory intercoronary connections from the left anterior descending (LAD) coronary artery to the RCA and a coronary–cameral fistula to the right ventricular outflow tract. Echocardiogram demonstrated coronary–cameral fistulae to the right ventricle (Video 1), a mildly dilated left ventricle, and holodiastolic flow reversal in the descending aorta.