Fig 30 - uploaded by Mullasari Ajit Sankardas
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![9 (a) CT coronary angiogram showing a fistula arising from the LCx and draining into the RA. It shows the entire fistulous tract which is dilated with two outpouchings in its course. One can appreciate the tortuosity of the tract and measure the dimensions at various sites including at the point of exit in the RA. (b) Three-dimensional reconstruction shows the number of obtuse marginal branches arising from the dilated fistulous tract along the way before it opens in the RA. These distal fistulae need to be closed at the point of exit to prevent ischemia in the region of the side branches [AU14]](profile/Mullasari-Ajit-Sankardas/publication/298788258/figure/fig8/AS:340857795432456@1458278239162/a-CT-coronary-angiogram-showing-a-fistula-arising-from-the-LCx-and-draining-into-the.png)
9 (a) CT coronary angiogram showing a fistula arising from the LCx and draining into the RA. It shows the entire fistulous tract which is dilated with two outpouchings in its course. One can appreciate the tortuosity of the tract and measure the dimensions at various sites including at the point of exit in the RA. (b) Three-dimensional reconstruction shows the number of obtuse marginal branches arising from the dilated fistulous tract along the way before it opens in the RA. These distal fistulae need to be closed at the point of exit to prevent ischemia in the region of the side branches [AU14]
Source publication
Coronary artery fistula (CAF) is a direct communication of a coronary artery to any one of the cardiac chambers, systemic or pulmonary veins, or pulmonary artery bypassing the capillary network. Although most of the patients remain asymptomatic, some of them may present with heart failure, angina, myocardial infarction, arrhythmias, and sudden deat...
