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

  • Hyun Woo Goo (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2021.04.22
  • 심사 : 2021.07.21
  • 발행 : 2021.12.01

초록

Coronary artery fistula, defined as an abnormal communication between the coronary arteries and a cardiac chamber (most commonly) or a thoracic great vessel, may result in hemodynamically significant problems due to vascular shunting in children. Echocardiography, cardiac catheterization, cardiac MRI, and cardiac CT may be used to evaluate coronary artery fistula in children. Recently, CT has played a pivotal role for the accurate diagnosis of coronary artery fistula in children. Surgical or interventional treatment is performed for hemodynamically significant coronary artery fistulas. In this pictorial review, the detailed imaging findings of coronary artery fistula in children are described.

키워드

참고문헌

  1. Krause W. uber den Ursprung einer akzessorischen A. coronaria aus der A. pulmonalis. Z Ratl Med 1865;24:225-227
  2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40
  3. Vavuranakis M, Bush CA, Boudoulas H. Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history. Cathet Cardiovasc Diagn 1995;35:116-120
  4. Zhou K, Kong L, Wang Y, Li S, Song L, Wang Z, et al. Coronary artery fistula in adults: evaluation with dual-source CT coronary angiography. Br J Radiol 2015;88:20140754
  5. Li N, Zhao P, Wu D, Liang C. Coronary artery fistulas detected with coronary CT angiography: a pictorial review of 73 cases. Br J Radiol 2020;93:20190523
  6. Ouchi K, Sakuma T, Ojiri H. Coronary artery fistula in adults: incidence and appearance on cardiac computed tomography and comparison of detectability and hemodynamic effects with those on transthoracic echocardiography. J Cardiol 2020;76:593-600
  7. Yun G, Nam TH, Chun EJ. Coronary artery fistulas: pathophysiology, imaging findings, and management. Radiographics 2018;38:688-703
  8. Kim MS, Jung JI, Chun HJ. Coronary to pulmonary artery fistula: morphologic features at multidetector CT. Int J Cardiovasc Imaging 2010;26:273-280
  9. Lim JJ, Jung JI, Lee BY, Lee HG. Prevalence and types of coronary artery fistulas detected with coronary CT angiography. AJR Am J Roentgenol 2014;203:W237-W243
  10. Said SA, Lam J, van der Werf T. Solitary coronary artery fistulas: a congenital anomaly in children and adults. A contemporary review. Congenit Heart Dis 2006;1:63-76
  11. Fernandes ED, Kadivar H, Hallman GL, Reul GJ, Ott DA, Cooley DA. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992;54:732-740
  12. Lee CM, Song SY, Jeon SC, Park CK, Choi YW, Lee Y. Characteristics of coronary artery to pulmonary artery fistula on coronary computed tomography angiography. J Comput Assist Tomogr 2016;40:398-401
  13. Li JL, Huang L, Zhu W, Ye WT, Yan LF, Zhong XM, et al. The evaluation of coronary artery-to-pulmonary artery fistula in adulthood on 256-slice CT coronary angiography: comparison with coronary catheter angiography and transthoracic echocardiography. J Cardiovasc Comput Tomogr 2019;13:75-80
  14. Ghrairi A, Menager-Gangloff C, Favier JP, Bonnet P, Dacher JN. CT angiography features of coronary-pulmonary artery fistula. Diagn Interv Imaging 2017;98:905-906
  15. Hu X, Wu L, Liu F, Shen Q, Pa M, Huang G. Coronary artery fistulas in children. Evaluation with 64-slice multidetector CT. Herz 2013;38:729-735
  16. Zhang P, Cai G, Chen J, Wang Y, Duan S. Echocardiography and 64-multislice computed tomography angiography in diagnosing coronary artery fistula. J Formos Med Assoc 2010;109:907-912
  17. Shabestari AA, Akhlaghpoor S, Fatehi M. Findings of bilateral coronary to pulmonary artery fistula in 64-multislice computed tomographic angiography: correlation with catheter angiography. J Comput Assist Tomogr 2008;32:271-273
  18. Erol C, Seker M. Coronary artery anomalies: the prevalence of origination, course, and termination anomalies of coronary arteries detected by 64-detector computed tomography coronary angiography. J Comput Assist Tomogr 2011;35:618-624
  19. Tangcharoen T, Bell A, Hegde S, Hussain T, Beerbaum P, Schaeffter T, et al. Detection of coronary artery anomalies in infants and young children with congenital heart disease by using MR imaging. Radiology 2011;259:240-247
  20. Goo HW. Coronary artery imaging in children. Korean J Radiol 2015;16:239-250
  21. Detorakis EE, Foukarakis E, Karavolias G, Dermitzakis A. Cardiovascular magnetic resonance and computed tomography in the evaluation of aneurysmal coronary-cameral fistula. J Radiol Case Rep 2015;9:10-21
  22. Tsai IC, Lee T, Chen MC, Fu YC, Jan SL, Wang CC, et al. Visualization of neonatal coronary arteries on multidetector row CT: ECG-gated versus non-ECG-gated technique. Pediatr Radiol 2007;37:818-825
  23. Ben Saad M, Rohnean A, Sigal-Cinqualbre A, Adler G, Paul JF. Evaluation of image quality and radiation dose of thoracic and coronary dual-source CT in 110 infants with congenital heart disease. Pediatr Radiol 2009;39:668-676
  24. Goo HW, Yang DH. Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol 2010;40:1670-1680
  25. Goo HW, Seo DM, Yun TJ, Park JJ, Park IS, Ko JK, et al. Coronary artery anomalies and clinically important anatomy in patients with congenital heart disease: multislice CT findings. Pediatr Radiol 2009;39:265-273
  26. Goo HW. Identification of coronary artery anatomy on dual-source cardiac computed tomography before arterial switch operation in newborns and young infants: comparison with transthoracic echocardiography. Pediatr Radiol 2018;48:176-185
  27. Goo HW. Coronary artery anomalies on preoperative cardiac CT in children with tetralogy of Fallot or Fallot type of double outlet right ventricle: comparison with surgical findings. Int J Cardiovasc Imaging 2018;34:1997-2009
  28. Goo HW. Quantitative evaluation of coronary artery visibility on CT angiography in Kawasaki disease: young vs. old children. Int J Cardiovasc Imaging 2021;37:1085-1092
  29. Verdini D, Vargas D, Kuo A, Ghoshhajra B, Kim P, Murillo H, et al. Coronary-pulmonary artery fistulas: a systematic review. J Thorac Imaging 2016;31:380-390
  30. Amin Z, McElhinney DB, Reddy VM, Moore P, Hanley FL, Teitel DF. Coronary to pulmonary artery collaterals in patients with pulmonary atresia and ventricular septal defect. Ann Thorac Surg 2000;70:119-123
  31. Ogden JA, Stansel HC Jr. Coronary arterial fistulas terminating in the coronary venous system. J Thorac Cardiovasc Surg 1972;63:172-182
  32. Freedom RM, Anderson RH, Perrin D. The significance of ventriculo-coronary arterial connections in the setting of pulmonary atresia with an intact ventricular septum. Cardiol Young 2005;15:447-468
  33. Latson LA. Coronary artery fistulas: how to manage them. Catheter Cardiovasc Interv 2007;70:110-116
  34. Valente AM, Lock JE, Gauvreau K, Rodriguez-Huertas E, Joyce C, Armsby L, et al. Predictors of long-term adverse outcomes in patients with congenital coronary artery fistulae. Circ Cardiovasc Interv 2010;3:134-139