Coronary arteriovenous fistula

Sakakibara, S; Yokoyama, Masayoshi; Takao, Atsuyoshi; Nogi, M; Gomi, H

doi:10.1016/s0002-8703(66)80004-2

Cited by 148 publications

(58 citation statements)

References 35 publications

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“…Isolated fistulae of the right and left coronary arteries commonly finish on the right side of the heart and, less frequently finish on the left side. This latter case does not represent a true arterio-venous "shunt", although presents the same physiological effect of coronary outflow [7].…”

Section: Introductionmentioning

confidence: 83%

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Surgical treatment of isolated fistulae of coronary arteries

Porto

Dias

Crevelari

2003

Rev Bras Cir Cardiovasc

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Objective: To report the surgical results obtained with the surgical correction of fistulae of coronary arteries in the pulmonary artery branch.Method: From 1995 to 1999, three female patients with diagnoses of isolated fistulae of coronary arteries confirmed by cinecoronariography underwent surgery.Results: No other associated heart diseases were observed in the patients. The main symptom of all patients was angina pectoris. After closing the coronary fistulae the patients progressed with event-free post-operative periods and with total recovery from the angina.Conclusion: Surgical treatment should be considered for all patients diagnosed as having isolated fistulae, due to the low morbid-mortality rate in addition to the technical simplicity of closing and performing the ligature of fistulae. Conclusão: A correção cirúrgica deve ser proposta para os casos diagnosticados de fístulas isoladas de artérias coronárias para evitar complicações importantes, considerando-se a baixa morbi-mortalidade hospitalar e a facilidade técnica para o fechamento e ligadura das fístulas. Descriptors

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Section: Introductionmentioning

confidence: 83%

“…The presence of left-right shunts can occasionally lead to the appearance of congestive heart failure, acute myocardial infarction, bacterial endocarditis, formation and rupture of aneurysm and sudden death [13,[16][17][18][19]. The incidence of these complications increases proportionally with the age of the patients [3,7,12].…”

Section: Commentsmentioning

confidence: 99%

Surgical treatment of isolated fistulae of coronary arteries

Porto

Dias

Crevelari

2003

Rev Bras Cir Cardiovasc

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“…Other rare complications reported were myocar dial ischaemia, infective endocarditis, or rupture of the aneurysm [7], Although it seems clear that symptomatic patients with large communica tions should have their fistulae closed, the role of surgery in asymptomatic patients remains uncertain [19]. Closure can be done by simply ligating the fistula at its point of entry into the receiving chamber as was done in our case I. Alternatively, extracorporeal circulation may be used to achieve clo sure of the coronary artery fistula either from inside the involved chamber or via an arteriotomy, directly over the site of fistula [11], Many cases of successful operations involving coronary fistulae draining both into the right as well as the left side of the heart have been reported in the literature [7,11,20], Due to the presence of multiple fistulae involving all three major coronary arteries in our case 3, and the left anterior, descending and circum flex artery in our case 4, it was elected not to advise operation because of the great difficulties in ligating all the abnormal communicating channels to the left ventricle.…”

Section: Discussionmentioning

confidence: 99%

Coronary Artery-Left Ventricular Fistula

et al. 1981

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Coronary artery-left ventricular fistulae are exceedingly rare and to date only 19 cases have been reported in the literature. We describe another four cases which we encountered recently. The first patient was a 10-year-old asymptomatic Indian male who was referred because of a to-and-fro murmur. Haemodynamic and angiographic studies revealed an aneurysmally enlarged right coronary artery draining into the left ventricle. The fistula was ligated and the patient has remained well over a 2½-year follow-up period. The second patient was a 13-year-old asymptomatic Chinese female referred also because of a to-and-fro murmur. Haemodynamic and angiographic studies showed a grossly enlarged right coronary artery draining into the left ventricle. This patient refused operation and has remained well over a 2-year follow-up period. The third patient was a 43-year-old Chinese male who presented with a 3-year history of angina pectoris and was admitted to hospital because of crescendo angina. The resting electrocardiogram showed marked ischaemic changes and the treadmill exercise stress test was also positive. Selective coronary angiography showed markedly dilated right and left coronary arteries. Multiple fistulae from the three major coronary arteries were seen to communicate with the left ventricle. It was elected to treat this patient medically with propranolol. He has remained well over a 6-month follow-up period. The fourth patient was a 5-year-old asymptomatic Chinese girl. Cardiac catheterization and selective coronary angiography revealed marked dilatation of the branches of the left coronary artery which communicated via a maize of fine vessels into the left ventricle. This patient has remained well over a 5-year follow-up period. The clinical presentation, investigations and treatment of coronary artery-left ventricular fistula are discussed and the literature regarding this subject is reviewed.

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“…This type of murmur can also be auscultated in other malformations such as aortico-pulmonary window, patent ductus arteriosus, ventricular septal defect with aortic regurgitation, rupture of sinus of Valsalva, absence of the pulmonary valve and other rare types of cardiac malformations like aortico-left ventricular and aortico-right ventricular tunnels.9) Certain conditions such as pulmonary hypertension and congestive heart failure can cause a continious murmur to be atypical. 4) Development of premature atherosclerosis is a potential complication of coronary artery-cardiac chamber fistulas.…”

Section: Discussionmentioning

confidence: 99%

Congenital Right Coronary Artery-Right Atrial Fistula

et al. 1980

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SUMMARYA rare type of congenital fistula between the right coronary artery and the right atrium, where fistula was draining just above the inferior vena caval orifice, is presented. Patient was operated on utilizing cardiopulmonary bypass and the fistulous opening into the right atrium was closed by interrupted ti-cron sutures supported with teflon pledgets. The benefits of using cardiopulmonary bypass in these operations or at least having it stand-by in the operating room are emphasized for safer closure of the fistula when needed.

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Coronary arteriovenous fistula

Cited by 148 publications

References 35 publications

Surgical treatment of isolated fistulae of coronary arteries

Surgical treatment of isolated fistulae of coronary arteries

Coronary Artery-Left Ventricular Fistula

Congenital Right Coronary Artery-Right Atrial Fistula

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