Department of Radiology, Chonnam National University Hospital, Chonnam National University Medical School, 671 Jebongro, Donggu, Gwangju, 501-757, Korea.
Int J Cardiovasc Imaging. 2010 Dec;26(Suppl 2):261-71. doi: 10.1007/s10554-010-9718-9. Epub 2010 Oct 5.
Coronary artery fistulas (CAFs) are rare congenital or acquired abnormalities that have anomalous terminations of the coronary arteries. Although many patients with CAFs are asymptomatic, they can display various clinical features associated with ischemic heart disease or heart failure. Making an early diagnosis is important for the proper management and prevention of late symptoms and complications. Conventional coronary angiography and cardiac CT have been commonly performed to diagnose CAFs, but multi-detector computed tomography (MDCT) is now being widely applied for diagnosing cardiovascular anomalies, and the number of incidentally detected CAFs on MDCT has been increasing. Therefore, we have to be familiar with the image findings of CAFs, and especially the image findings of MDCT for making the correct diagnosis of CAFs. In this article, we illustrate the MDCT findings of various types of CAFs in adults and we review the pathophysiology and clinical features of CAFs.
冠状动脉瘘（CAF）是一种罕见的先天性或后天性异常，其特征为冠状动脉的异常终末。尽管许多 CAF 患者无症状，但他们可能表现出各种与缺血性心脏病或心力衰竭相关的临床特征。早期诊断对于适当的管理和预防晚期症状和并发症很重要。传统的冠状动脉造影和心脏 CT 常用于诊断 CAF，但多排 CT（MDCT）现在广泛应用于心血管异常的诊断，并且 MDCT 上偶然发现的 CAF 数量不断增加。因此，我们必须熟悉 CAF 的影像学表现，特别是 MDCT 的影像学表现，以便对 CAF 做出正确诊断。本文阐述了成人各种类型 CAF 的 MDCT 表现，并复习了 CAF 的病理生理学和临床特征。
Zotero 插件