Use of DSA in Diagnosing and Treating Children Complex Coronary Artery Fistula: A Report of Five Cases

Objective: To examine the appearance of children complex coronary artery fistula using digital subtraction angiography (DSA) and to conclude whether DSA provides comprehensive information in interventional treatment. Materials and Methods: Five children with complex coronary artery fistula were evaluated by DSA and ultrasonography (US) between 2008 and 2013. Preoperative US was performed on five children at 1, 11, 4, 12, and 5 years old following DSA evaluations that demonstrated complex coronary artery fistula. The preoperative US and DSA findings were compared with the physical examination, then decided to perform interventional treatment of three cases. Results: In all five cases, two cases were left coronary artery to right ventricle fistulas, two cases were left coronary artery to right atrium fistulas, the other one case was right coronary artery to right atrium fistula, three cases of successful interventional treatment. Conclusions: DSA is effective in the assessment of children complex coronary artery fistula, and may Guide interventional procedures. US may provide a useful adjunction in assessing children complex coronary artery fistula.