Fístula traumática entre coronária direita e câmara atrial direita

Lemos, Alessandra Edna Teófilo; Araújo, Antonio Luiz Junior; Belém, Lucia de Souza; Mejia, Juan Alberto Cosquilo; Júnior, Aluisio Cruz; Evangelista, Nelson Lopes; Oliveira, Lisa

doi:10.1590/s0066-782x2007000300026

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…We were uncertain of whether this RCA-RA fistula was congenital, longstanding acquired, or recent trauma-related. The major determinants of the size of the shunt are the compliance of the recipient cardiac chamber and the cross-sectional area of the fistulous tract [5]. The coronary fistula-ending RA causes a large runoff into the low-pressure chamber and a steal of blood from the RCA and eventually from the left coronary arterial beds.…”

Section: Discussionmentioning

confidence: 99%

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

Kim

Lee

et al. 2014

Korean J Thorac Cardiovasc Surg

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Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been undiagnosed with acute myocardial infarction, readmitted five months after ischemic insult, and revealed to have experienced MI due to RCA-right atrial fistula and occlusion of the distal RCA. He underwent coronary surgery and recovered without complications.

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Section: Discussionmentioning

confidence: 99%

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

Kim

Lee

et al. 2014

Korean J Thorac Cardiovasc Surg

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Coronary-cameral fistulas in adults: Acquired types (second of two parts)

Saïd¹,

Schiphorst²,

Derksen³

et al. 2013

WJC

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Acquired coronary artery fistulas (CCFs) are infrequently detected during conventional coronary angiography. To delineate the characteristics of congenital (first part) and acquired (second part) CCFs in adults, a PubMed search was conducted for papers dealing with congenital or acquired CCFs. None of the publications describing patients with coronary-vascular fistulas were included. Papers dealing with pediatric subjects were excluded. From the world literature, a total of 243 adult patients were selected who had congenital (n = 159/243, 65%) and acquired (n = 84/243, 35%) CCFs. Among the acquired types (n = 72, 85.7%) were traumatic (iatrogenic (n = 65/72, 90%), accidental (n = 7/72, 10%) and (n = 12, 14.3%) spontaneously developing in relation to severe coronary atherosclerosis or myocardial infarction. A high incidence of spontaneous resolution of iatrogenic CCFs resulting from endomyocardial biopsy or following post-septal myectomy was reported. Spontaneous CCFs associated with myocardial ischemia or infarction resolved completely in 8% of the subjects. Early surgical intervention was the treatment of choice in acquired traumatic accidental CCFs. The congenital types are addressed in a previous issue of this journal (first part). In this review (second of two parts, part II), we describe the acquired coronary-cameral fistulas.

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Fístula traumática entre coronária direita e câmara atrial direita

Cited by 2 publications

References 2 publications

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

Coronary-cameral fistulas in adults: Acquired types (second of two parts)

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