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Noninvasive diagnosis of coronary arterial fistulas using multiplanar cine magnetic resonance imaging

Published online by Cambridge University Press:  19 August 2008

Shin-ichi Tsubata
Affiliation:
Department of Pediatrics, Toyama Medical and Pharmaceutical University, Toyama, Japan
Fukiko Ichida*
Affiliation:
Department of Pediatrics, Toyama Medical and Pharmaceutical University, Toyama, Japan
Toshio Miyawaki
Affiliation:
Department of Pediatrics, Toyama Medical and Pharmaceutical University, Toyama, Japan
*
Dr. Fukiko Ichida, Department of Pediatrics, Toyama Medical and Pharmaceutical Medicine, 2630 Sugitani, Toyama 930-01, Japan Telephone No, 81-764-34-2281; Fax No, 81-764-34-5029

Abstract

In three children with coronary arterial fistulas, two extending from the right coronary artery to the right atrium and one from the left circumflex coronary artery to the right ventricle, multiplanar cine magnetic resonance imaging was able accurately to demonstrate dilation of the involved coronary artery, the tortuous nature of the dilated fistulas, blood flow within the fistulas, and luminal narrowing. The technique provides a new adjunct for management of patients, especially young children, with coronary arterial fistulas.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1998

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References

1.Reidy, JF, Anjos, RT, Qureshi, SA, Baker, EJ, Tynan, MJ.Transcatheter embolization in the treatment of coronary artery fistulas. J Am Coll Cardiol 1991; 18: 187192.Google Scholar
2.Perry, SB, Rome, J, Keane, JF, Bairn, DS, Lock, JE.Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol 1992; 20: 205209.Google Scholar
3.Davis, JT, Allen, HD, Wheller, JJ, Chan, DP, Cohen, DM, Teske, DW, Cassidy, SC, Craenen, JM, Kilman, JW.Coronary artery fistula in the pediatric age group: a 19-year institutional experience. Ann Thorac Surg 1994; 58: 760763.Google Scholar
4.Boxer, RA, LaCorte, MA, Singh, S, Ishmael, R, Cooper, R, Stein, H.Noninvasive diagnosis of congenital left coronary artery to right ventricle fistula by nuclear magnetic resonance imaging. Pediatr Cardiol 1989; 10: 4547.Google Scholar
5.Kubota, S, Suzuki, T, Murata, K.Cine magnetic resonance imaging for diagnosis of right coronary arterial-ventricular fistula. Chest 1991; 100: 735737.Google Scholar
6.Bosi, G, Milanesi, O, Scorrano, M, Pellegrino, PA, Lintermans, JP.Doppler and 2D echocardiographic diagnosis of congenital coronary artery fistulae to the right cardiac chamber: reports of 3 cases. Eur J Pediatr 1992; 151: 555557.Google Scholar
7.Prewitt, KC, Smolin, MR, Coster, TS, Vernalis, MN, Bunda, M, Wortham, DC.Coronary artery fistula diagnosed by transesophageal echocardiography. Chest 1994; 105: 959961.Google Scholar
8.Tsubata, S, Ichida, F, Hashimoto, I, Hamamichi, Y, Okada, T. Estimation of blood flow in coronary aneurysm using multiplanar cine magnetic resonance imaging. In Kato, H ed. Kawasaki disease: proceeding of the 5th international Kawasaki disease. Amsterdam: Elsevier 1995; 5: 27530.Google Scholar
9.Ichida, F, Tsubata, S, Hashimoto, I, Hamamichi, Y.Dipyridamole stress cine MRI of coronary arteries in Kawasaki disease. Circulation 1995; (Supple I)92: 1646.Google Scholar
10.Tsubata, S, Ichida, F, Harnamichi, Y, Miyazaki, A, Hashimoto, I, Okada, T.Successful thrombolytic therapy using tissue-type plasminogen activator in Kawasaki disease. Pediatr Cardiol 1995; 16: 186189.Google Scholar