Congenital Coronary Arteriovenous Fistula

Engle, Mary Allen; Goldsmith, Edward I.; Holswade, George R.; Goldberg, Henry P.; Glenn, Frank

doi:10.1056/nejm196104272641705

Cited by 24 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There has been a relatively large number of patients who were subjected to surgical treatment (Sondergaard, 1955;Davis et al, 1956;Mozen, 1956;Edwards et al, 1958;Neill and Mounsey, 1958;Bosher et al, 1959;Grob and Kolb, 1959;Kittle, 1959;Sanger et al, 1959;Swan et al, 1959;Gasul et al, 1959;Zuhdi et al, 1960;Carmichael and Davidson, 1961;Dubost, Chevrier, and Metianu, 1961;Engle et al, 1961;McIntosh et al, 1961;Neufeld et al, 1961;Barcia et al, 1962;Braudo et al, 1962;Cooley and Ellis, 1962;Papaioannou et al, 1962;Effier and Welti, 1963), and the results appear to be uniformly encouraging. Most operations were performed under conventional anaesthesia, the abnormal coronary artery being cut and/or ligated, after having been clamped for a few minutes while the effect of occlusion on the heart was observed.…”

Section: Discussionmentioning

confidence: 99%

Coronary artery fistula.

Barnes¹,

Cheung²,

Wu³

1969

Heart

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Coronary artery fistula.

Barnes¹,

Cheung²,

Wu³

1969

Heart

View full text Add to dashboard Cite

“…This has been accomplished in 41 patients to date (Sondergaard, 1955;Davis et al, 1956;Johnson, personal communication to Davis et al, 1956;Mozen, 1956;Morrow, personal communication to Edwards et al, 1958;Neill and Mounsey, 1958;Bosher et al, 1959;Grob and Kolb, 1959;Kittle, 1959;Sanger et al, 1959;Swan et al, 1959;Diehl, 1960;Gasul, et al, 1959;Zuhdi et al, 1960;Carmichael and Davidson, 1961;Dubost, Chevrier, and Metianu, 1961;Engle et al, 1961;McIntosh et al, 1961;Neufeld et al, 1961;Barcia et al, 1962;Braudo et al, 1962;Cooley and Ellis, 1962;Papaioannou et al, 1962;Effier and Welti, 1963;Michaud et al, 1963;Soulie et al, 1963) with only 2 reported deaths (Bosher et al, 1959;Michaud et al, 1963): both occurred in small critically ill children, one of whom had an SERRAITO AND KEZDI associated patent ductus arteriosus. Three patients in whom interruption of the fistula was obtained by ligation of the coronary artery developed myocardial infarction (Swan et al, 1959;Cooley and Ellis, 1962;Michaud et al, 1963).…”

Section: Discussionmentioning

confidence: 99%

Congenital coronary artery-right ventricular fistula corrected surgically.

Serratto¹,

Kezdi²

1965

Heart

View full text Add to dashboard Cite

Anomalous communication of one or both coronary arteries and a cardiac chamber was described for the first time by Cayla in 1885. Recently, the introduction of selective angiocardiography and the possibility of satisfactory repair by relatively simple surgical procedures have furthered the interest in the syndrome. Most of the patients diagnosed during life and operated upon were children (Gasul et al., 1960;Abbott, Rivarola, and Logue, 1961;Cooley and Ellis, 1962; SouliH et al., 1963;Michaud et al., 1963;Effier and Welti, 1963).The patient presented here is unusual in that he was a middle-aged man with a congenital fistula between the right coronary artery and the right ventricle, which was successfully treated by operation.Case Report A 33-year-old white accountant was admitted to Chicago Wesley Memorial Hospital in May 1961, for evaluation of a heart murmur and cardiomegaly, which had been present since birth. His past history revealed an episode of subacute bacterial endocarditis in 1946, successfully treated with penicillin in another hospital. In 1955 and again in 1956, he was admitted to the hospital for "kidney infection", and in 1957 he underwent right inguinal hernia repair. The patient had been entirely asymptomatic throughout his life and had never limited his physical activity. However, he was not accepted for military service, and life insurance had been denied to him because of his cardiac status.On physical examination, he appeared well developed, obese, not in acute or chronic distress. The respiratory rate was 20 per minute, pulse rate 76 per minute, and blood pressure 130/70 mm. Hg. There was no precordial asymmetry. The point of maximal impulse was strong and diffuse and was located at the sixth intercostal space at the anterior axillary line. The cardiac dullness extended 3 5 cm. to the right of the sternum. There was a significant left parasternal heave and a systolic thrill was palpable at the third left intercostal space at the sternal margin. In the same area, a loud (grade 4 out of 6) systolic and an early-tomid medium intensity (grade 3 out of 6) diastolic murmur were present, which radiated widely over the anterior prwcordium. The second sound was normally split. The peripheral pulses were normal.The chest radiograph showed increased pulmonary vascularity. The transverse cardiac diameter was 42 per cent above the normal and the enlargement appeared to be biventricular. There was marked increase in the diameter of the main pulmonary artery segment. The electrocardiogram showed incomplete right bundle-branch block pattern, and there was left axis deviation (-15°) and increased voltage in the prncordial leads (RV6+SV1=46 mm.) suggesting left ventricular hypertrophy (Fig. 1). The phonocardiogram confirmed the presence of the systolic and diastolic murmurs. Right heart catheterization disclosed a significant increase in oxygen content at the ventricular level. The left-to-right shunt was 3 9 l./min./m.2 with a systemic output of 2-3 l./min./m.2. The right ventricular systolic pressure was ...

show abstract