Usefulness and Limitation of Transthoracic Echocardiography in the Diagnosis of Large Coronary Artery Fistula

(Echocardiography 2010;27:1291-1295)Key words: coronary artery aneurysm, diagnosis, transthoracic echocardiographyCoronary artery fistula (CAF) is an unusualcongenital or acquired coronary vessel abnor-mality and conventional coronary angiography(CAG) has been the gold standard of diagnos-tic image analysis for CAF. Recent accumulatingcase reports have shown that multidetector com-puted tomography (MDCT) could be an alterna-tiveimagingmodalityofchoiceforCAFbyitshightemporal and spatial resolution power.