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Improved visualisation of a coronary artery fistula by the "laid-back" aortogram.
  1. M Hofbeck,
  2. F Wild,
  3. H Singer
  1. Department of Paediatric Cardiology, University Children's Hospital, Erlangen, Germany.


    The preoperative assessment of patients with a coronary artery fistula requires exact angiographic evaluation of the coronary artery anatomy. A technique of transvenous balloon occlusion angiography of the aorta is described. This can be applied easily in infants with a persisting foramen ovale. Combination of this technique with the so-called "laid-back" aortogram gave excellent visualisation of a fistula between the right coronary artery and the right ventricle. This technique is a major improvement in the angiographic assessment of infants with coronary artery abnormalities and normal cardiac connections.

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