TY - JOUR AU - Lin, Yi-Chang AU - Tsai, Yi-Ting AU - Lin, Chih-Yuan AU - Lee, Chung-Yi AU - Hong, Gou-Jieng AU - Tsai, Chien-Sung PY - 2010/06/09 Y2 - 2024/03/28 TI - Coronary Artery Fistula Detected by 64-Slice Multidetector Computed Tomography: Case Report JF - The Heart Surgery Forum JA - HSF VL - 13 IS - 3 SE - DO - 10.1532/HSF98.20091166 UR - https://journal.hsforum.com/index.php/HSF/article/view/144 SP - E198-E199 AB - Coronary artery fistula (CAF), a rare anomaly of a coronary artery, is defined as an anomalous communication between a coronary artery and a cardiac chamber or vessels. Coronary angiography remains the main modality for diagnosing CAF. We present a case of fistulous communication between the left anterior descending coronary artery and the main pulmonary artery. The exact anatomy of the fistula was demonstrated by 64-slice multidetector computed tomography (MDCT). Surgical ligation on a beating heart was carried out. Intraoperative Doppler flow detection was used to evaluate the shunt of the CAF. We prefer MDCT as a new diagnostic modality to provide the detailed anatomy of a CAF. ER -