{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:15Z","timestamp":1790586015881,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 63\u2010year\u2010old woman presented with intermittent palpitations. Transoesophageal echocardiography (TEE) identified a high\u2010velocity shunt from a tortuous left circumflex artery into an enlarged coronary sinus, with a 5\u2010mm fistulous orifice. Coronary CT angiography delineated the full course of a congenital coronary arteriovenous fistula (CAVF), associated circumflex aneurysm, and coronary sinus dilatation. Surgical closure was successfully performed, with intraoperative confirmation of shunt resolution. This case highlights the synergistic utility of multimodal imaging: echocardiography for real\u2010time hemodynamic assessment and CT angiography for precise anatomical mapping\u2014which enables accurate diagnosis, optimal surgical planning, and timely intervention in anatomically complex CAVF before irreversible myocardial damage ensues.<\/jats:p>","DOI":"10.1111\/echo.70607","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:56:40Z","timestamp":1787731000000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Vascular Tangle Unraveled: Multimodal Imaging in Giant Coronary Arteriovenous Fistula"],"prefix":"10.1111","volume":"43","author":[{"given":"Ping","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Medical Imaging Center, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Center, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010yong","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Cardiology Qiannan Buyei and Miao Autonomous Prefecture People's Hospital  Guizhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Wuhan Asia Heart Hospital  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Jing","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Center, Wuhan Asia Heart Hospital Affiliated Wuhan University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2018.08.016"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2016.10.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000603"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101349162"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.5603\/cj.2011.0013"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010024\u201003851\u2010w"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.883884"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886\u2010024\u201002038\u20101"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt\u20102026\u2010004055"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792\u2010019\u20100597\u20106"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.02.044"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.70607","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:43:43Z","timestamp":1790585023000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/echo.70607"],"URL":"https:\/\/doi.org\/10.1111\/echo.70607","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"assertion":[{"value":"2026-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70607"}}