Artery Fistula Causing Aortic Regurgitation in Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collateral Arteries

Furutake, Tatsuya; Koizumi, Junichi; Iwase, Tomoyuki; Kamada, Takeshi; Takahashi, S.; Oyama, Kotaro; Okabayashi, Hitoshi; Ikai, Akio

doi:10.1016/j.athoracsur.2015.02.059

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Figure 4 shows the patients’ perioperative statuses. Four patients (6%) had cardiac dysfunction due to myocardial ischemia, three of whom exhibited improved cardiac function after intervention for CPF ( Figure 4 A) [ 30 , 31 , 34 , 38 ]. Of 59 patients, 52 (88%) survived, and seven (12%) died [ 7 , 8 , 9 , 12 , 18 , 19 , 24 ], five of which were reported before 2000.…”

Section: Resultsmentioning

confidence: 99%

“…Of these patients, eight were excluded due to inadequate data [ 4 , 5 ]. Finally, the remaining 69 patients, who were reported in 42 articles, were included in the present study [ 2 , 3 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. Of these articles, 11 involving 21 patients (30%) were published before 1990 [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

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Clinical Characteristics of Coronary-to-Pulmonary Artery Fistula in Patients with Pulmonary Atresia and Ventricular Septal Defect

Sumitomo

Kodo

Inoue

et al. 2023

JCDD

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The existence of a coronary-to-pulmonary artery fistula (CPF) in pulmonary atresia with ventricular septal defect (PAVSD) potentially affects treatment; however, its clinical features have not been comprehensively described due to the disease’s rarity. We reviewed 69 cases from 42 studies to reveal the clinical overview of patients with CPF and PAVSD. Among the included patients, the male-to-female ratio was exactly 1:1, and only two patients (3%) exhibited the 22q11.2 microdeletion syndrome. Regarding anatomical features, CPFs originated from the left coronary artery in 65% of patients, and 62% had other major aortopulmonary collateral arteries. Thirty-nine percent of patients had a definitive CPF diagnosis at 0 years of age, whereas 10% were diagnosed in adulthood. Seventy percent underwent catheter angiography to obtain a definitive CPF diagnosis. Ninety-five percent of patients underwent cardiac surgery, and among them, 43% underwent palliative surgery, whereas 52% underwent one-stage repair. Four patients including three adult patients developed cardiac dysfunction due to myocardial ischemia, and three of them exhibited improved cardiac function after the intervention for CPF. Of all the patients, 88% survived and 12% died. The surgical strategy and prognosis were similar to those in PAVSD patients without CPF. This review provides detailed clinical phenotypes that are potentially useful in enhancing the management of patients with this rare disease.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Clinical Characteristics of Coronary-to-Pulmonary Artery Fistula in Patients with Pulmonary Atresia and Ventricular Septal Defect

Sumitomo

Kodo

Inoue

et al. 2023

JCDD

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“…Although the optimal management of MAPCAs remains undetermined, transcatheter coil embolization successfully resolved myocardial ischemia in the present case. One of major clinical concerns regarding coronary artery fistula including MAPCAs is myocardial ischemia due to coronary steal [3] which might cause acute myocardial infarction [4]. Although coronary artery fistula could be spontaneously resolved [5], the majority of patients consulting a medical institution have some symptoms [6].…”

Section: Discussionmentioning

confidence: 99%

“…One of major clinical concerns regarding coronary artery fistula including MAPCAs is myocardial ischemia due to coronary steal which might cause acute myocardial infarction . Although coronary artery fistula could be spontaneously resolved , the majority of patients consulting a medical institution have some symptoms .…”

Section: Discussionmentioning

confidence: 99%

“…In patients with tetralogy of Fallot (TOF) and pulmonary atresia, the incidence of MAPCAs is reported as 1% , and fistulae provide an alternative pulmonary blood supply . On the other hand, coronary artery fistula may cause myocardial ischemia due to coronary steal though the number of previous reports is limited . Therefore, the clinical manifestation and optimal treatment strategy remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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Myocardial ischemia induced by major aortopulmonary collateral arteries treated with transcatheter coil embolization

Kakizaki

Tojo

Minami

et al. 2017

Clinical Case Reports

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Key Clinical MessageMajor aortopulmonary collateral arteries branching from coronary arteries may cause coronary steal. The careful follow‐up is needed irrespective of symptoms because increasing physical activities and oxygen demand along with the age may induce myocardial ischemia. Transcatheter intervention by well‐trained physician would be a treatment option in patients with myocardial ischemia.

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Congenital Heart Disease in Children

Secinaro

Curione

2018

Multislice CT

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Artery Fistula Causing Aortic Regurgitation in Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collateral Arteries

Cited by 6 publications

References 4 publications

Clinical Characteristics of Coronary-to-Pulmonary Artery Fistula in Patients with Pulmonary Atresia and Ventricular Septal Defect

Clinical Characteristics of Coronary-to-Pulmonary Artery Fistula in Patients with Pulmonary Atresia and Ventricular Septal Defect

Myocardial ischemia induced by major aortopulmonary collateral arteries treated with transcatheter coil embolization

Congenital Heart Disease in Children

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