Liu Qiang, Jiang Jicheng
Department of Radiology, The First Affiliated Hospital of Jishou University, Shijidadao Rd 26, Jishou, Hunan Province, 416000, China.
Radiol Case Rep. 2023 Jun 25;18(9):3140-3144. doi: 10.1016/j.radcr.2023.06.033. eCollection 2023 Sep.
Coronary-pulmonary arterial fistula is a rare coronary artery abnormality disease, which refers to a coronary fistula that terminates at the pulmonary artery. Coronary-pulmonary fistulas are much less common in children than in adults, and the small fistulas are easily missed. We report the case of a 9-year-old girl who presented with coronary-pulmonary arterial fistula. She underwent multimodal imaging, including chest X-ray, echocardiography, computed tomography with 3-dimensional cinematic rendering. We found that the cinematic rendering images clearly showed the small-caliber fistulous connections. The combination of CT and echocardiography can effectively help doctors understand the anatomical details and hemodynamic information.
冠状动脉-肺动脉瘘是一种罕见的冠状动脉异常疾病，指的是冠状动脉瘘终止于肺动脉。儿童冠状动脉-肺动脉瘘比成人少见得多，小的瘘管很容易被漏诊。我们报告一例9岁女孩患冠状动脉-肺动脉瘘的病例。她接受了多种影像学检查，包括胸部X线、超声心动图、三维电影成像计算机断层扫描。我们发现电影成像图像清晰地显示了小口径的瘘管连接。CT和超声心动图相结合可以有效地帮助医生了解解剖细节和血流动力学信息。
