Imaging of coronary artery fistulas by multidetector CT angiography using third generation dual source CT scanner

Coronary artery fistulas are rare cardiac conditions which constitute a subgroup of anomalies of the coronary arteries. Though majority are asymptomatic, they may be associated with high prevalence of late symptoms and complications. Accurate identification of the fistulas, their hemodynamic significance and associated conditions generally influence management strategies. Dual source computed tomographic evaluation is valuable in delineating its precise morphology with identification and characterization of associated anomalies, thereby assisting in mapping the ideal treatment option. •Coronary artery fistulas are rare group of termination anomalies.•Identification and delineation is important for advocating appropriate therapy.•Dual source CT delineates its precise morphology and identifies associated anomalies.•Thus, dual source CT assists in mapping the ideal treatment option.