Abstract
Coronary artery fistula with aneurysm is an infrequent vascular anomaly. Echocardiography and angiography have traditionally been used as diagnostic tools for coronary artery fistulas. However, new imaging modalities, such as multi-detector computed tomography (MDCT), can now be used to noninvasively determine the anatomy of an abnormal coronary artery accurately and to facilitate the formulation of appropriate management strategies. In this case, two huge coronary arteriovenous fistulas with aneurysmal changes were observed on 2D-echocardiography and coronary angiography performed on a 72-year-old female. The anatomy of the coronary arteriovenous fistula was then determined in detail by 64-slice MDCT angiography.
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