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Usefulness of Multidetector Computed Tomography for Diagnosis and Surgical Treatment of Large Coronary Artery Fistula by Jun Shiraishi; Akiyuki Takahashi; Masayoshi Kimura; Kotaro Miyagawa; Sayuki Torii; Mitsuo Takeda; Masayasu Arihara; Masayuki Hyogo; Takatomo Shima; Takashi Okada; Taiji Watanabe; Osamu Sakai; Masamichi Nakajima; Yoshio Kohno; Hiroaki Matsubara is a Medicine article available to read on EtoBox.
What is Usefulness of Multidetector Computed Tomography for Diagnosis and Surgical Treatment of Large Coronary Artery Fistula about?
## Background: Coronary angiography (cag) has been the mainstay of diagnostic image analysis for coronary artery fistula (caf). however, it is difficult to fully delineate this complex vessel structure including coronary trees, particularly in cases with large caf, by this method. ## Case reports: In the present 3 cases with large caf, contrast-enhanced multidetector computed tomography (mdct) was performed to examine the whole coronary vessel structure including caf. selective cag was also undertaken. in all 3 cases, based on the echocardiographic findings and the characteristic heart murmur, presence of caf was suspected. however, transthoracic echocardiography as well as cag alone could not define the whole abnormal vessel structure precisely. moreover, cag could not obtain clear images of the coronary artery with large caf, because of contrast-steal. in contrast, mdct could not only define caf in detail but also depict coronary artery adjacent to caf. on the basis of the mdct findings, in cases 1 and 3, surgical exclusions were undertaken without and with coronary artery bypass grafting, respectively. ## Conclusions: Contrast-enhanced mdct might be useful for the diagnosis of l
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- Author
- Jun Shiraishi; Akiyuki Takahashi; Masayoshi Kimura; Kotaro Miyagawa; Sayuki Torii; Mitsuo Takeda; Masayasu Arihara; Masayuki Hyogo; Takatomo Shima; Takashi Okada; Taiji Watanabe; Osamu Sakai; Masamichi Nakajima; Yoshio Kohno; Hiroaki Matsubara
- Publisher
- Elsevier ; Elsevier BV (ISSN 1878-5409)
- Published
- 2010
- Language
- EN
- Field
- Medicine (Health Sciences)