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Date Published: 15/06/2022
Online Published: 29/11/2020
Abstract Views: 157
Views PDF: 110
DOI: https://doi.org/10.55046/vjrnm.40.199.2020
Issue
No. 40 (2020)
Section
Scientific research
How to Cite
Phung, B. N., Nguyen, K. V., Hoang, V. H., Nguyen, N. T., Le, T. L., Vu, D. L., & Pham, M. T. (2020). Diagnosis of coronary artery fistulas by multidetector computed tomography. Vietnamese Journal of Radiology and Nuclear Medicine, 40, 66-71. https://doi.org/10.55046/vjrnm.40.199.2020

Diagnosis of coronary artery fistulas by multidetector computed tomography

Phung Bao Ngoc1,, Nguyen Khoi Viet1, Hoang Van Hoa2, Nguyen Ngoc Trang2, Le Thuy Lien2, Vu Dang Luu3, Pham Minh Thong2
1 Bach Mai hospital
2 Bạch Mai Hospital
3 Bạch Mai hospital

Main Article Content

Abstract

Objective: Evaluate the characteristics of coronary artery fistulas (CAFs) by multidetector computed tomography (MDCT).
Material and methods: During 21 months (between January 2019 and September 2020), study on 31 patients were diagnosed with CAFs on MDCT at Radiology Centre of Bach Mai hospital, prospective descriptive study.
Result: We enrolled 31 patients (11 male, 20 female, mean age 56 years) with CAFs on MDCT. 18 patients had multiple fistulas (58,1%), 13 patients had single communication (41,9%). 6,5% originated from the right coronary, 35,5% arose from the left coronary artery system and 58,5% from both right and left coronary artery. 87,1% of fistulas drain to the right side of the circulation(74,2% drain to pulmonary artery). 1 patient (3,2%) had fistula drain to the left side of the circulation (bronchial artery). 3 patients (9,7%) had fistulas drain to both right and left side of the circulation (pulmonary artery and bronchial artery).
10 patients had large fistulas (32,3%), 21 patients had small fistulas (67,7%). 19 patients had aneurysm of fistulas (61,3%), most of them drain to pulmonary artery (73,7%). 38,7% of patients were diagnosed with CAFs by echocardiography (38,7%). 6 patients were examined by DSA: 2 patients were not detected origin of fistulas by DSA, 3 patients were not detected drainage of fistulas by DSA.
Conclusion: DSCT is a noninvasive and useful modality for diagnosis of CAFs

Article Details

References

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