Indispensable Role of Multimodality Imaging in Diagnosis and Management of Coronary Arteriovenous Fistulas

Shahrad Shadman; Raghav Gattani; Hooman Bakhshi; Balbir S Sidhu; Ramesh Singh; Abbas Emaminia

doi:10.1016/j.jaccas.2022.04.005

Indispensable Role of Multimodality Imaging in Diagnosis and Management of Coronary Arteriovenous Fistulas

JACC Case Rep. 2022 Jul 6;4(13):826-831. doi: 10.1016/j.jaccas.2022.04.005.

Authors

Shahrad Shadman¹, Raghav Gattani², Hooman Bakhshi², Balbir S Sidhu², Ramesh Singh², Abbas Emaminia²

Affiliations

¹ Department of Cardiovascular Imaging, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
² Division of Cardiology, Inova Heart and Vascular Institute, Fairfax, Virginia, USA.

Abstract

We describe a patient with right coronary artery to coronary sinus fistula requiring surgical elimination. The decision process in managing fistulas depends on the size, site of origin, and symptoms caused by the fistula. We highlight the pivotal role of multimodality cardiovascular imaging in the diagnosis and management of coronary fistulas. (Level of Difficulty: Intermediate.).

Keywords: CAF, coronary artery fistula; CS, coronary sinus; CT, computed tomography; RCA, right coronary artery; RV, right ventricle; computed tomography; coronary artery aneurysm; coronary fistula; echocardiography; multimodality imaging.

Publication types

Case Reports