Case report of coronary artery fistula Added value of multimodal advanced imaging with cardiac computed tomography and cardiac magnetic resonance

被引:8
作者
Punzo, Bruna [1 ]
Forte, Ernesto [1 ]
Salvatore, Marco [1 ]
Cavaliere, Carlo [1 ]
Cademartiri, Filippo [1 ]
机构
[1] IRCCS SDN, Via E Gianturco 113, I-80143 Naples, Italy
关键词
cardiac computed tomography; cardiac magnetic resonance; coronary artery fistula; dual source computed tomography;
D O I
10.1097/MD.0000000000018255
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rationale: Unlike invasive coronary angiography and echocardiography, cardiac computed tomography (CCT) and cardiac magnetic resonance (CMR) imaging allow a coronary artery fistula (CAF) comprehensive evaluation focusing on both coronary and myocardial findings. Patient concerns: We present the case of an asymptomatic patient suspected for CAF and referred to our structure for cardiovascular evaluation. Diagnosis: The patient was diagnosed a CAF without coronary artery disease on the basis of CMR and CCT. Interventions: The patient underwent an invasive coronary angiography after which the medical staff decided not to surgically treat the CAF. Therefore, a conservative treatment was chosen with strict temporal monitoring. Outcomes: After less than 1 year follow-up, the patient presented stable conditions without complaints. Lessons: Multimodal non-invasive imaging has a key role in patient assessment for disease diagnosis providing better understanding for prognosis and treatment.
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页数:5
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