Coronary Arteriovenous Fistula Secondary to Iatrogenic Coronary Perforation

Almendro‐Delia, Manuel; Ortiz-Cortés, Carolina; Carrascosa-Rosillo, César

doi:10.1016/j.rec.2013.09.025

Cited by 3 publications

(7 citation statements)

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“…Four (19.04%) of our patients had double CAVFs originating both from the left coronary artery and RCA. Until now, only a few cases have been reported with CAVF from RCA or circumflex coronary artery to superior vena cava [4,17] . In our series, one patient had CAVFs from RCA to superior vena cava and one patient had CAVFs from circumflex coronary artery to coronary sinus.…”

Section: Discussionmentioning

confidence: 99%

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Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes

Albeyoğlu¹,

Aldağ²,

Ciloglu³

et al. 2017

Braz J Cardiovasc Surg

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ObjectiveThe aim of this study was to describe the demographic, clinical and anatomic characteristics of coronary arteriovenous fistulas in adult patients who underwent open cardiac surgery and to review surgical management and outcomes.MethodsTwenty-one adult patients (12 female, 9 male; mean age: 56.1±7.9 years) who underwent surgical treatment for coronary arteriovenous fistulas were retrospectively included in this study. Coronary angiography, chest X-ray, electrocardiography and transthoracic echocardiography were preoperatively performed in all patients. Demographic and clinical data were also collected. Postoperative courses of all patients were monitored and postoperative complications were noted.ResultsA total of 25 coronary arteriovenous fistulas were detected in 21 patients; the fistulas originated mainly from left anterior descending artery (n=9, 42.8%). Four (19.4%) patients had bilateral fistulas originating from both left anterior descending and right coronary artery. The main drainage site of coronary arteriovenous fistulas was the pulmonary artery (n=18, 85.7%). Twelve (57.1%) patients had isolated coronary arteriovenous fistulas and 4 (19.4%), concomitant coronary artery disease. Twenty (95.3%) of all patients were symptomatic. Seventeen patients were operated on with and 4 without cardiopulmonary bypass. There was no mortality. Three patients had postoperative atrial fibrillation. One patient had pericardial effusion causing cardiac tamponade who underwent reoperation.ConclusionThe decision of surgical management should be made on the size and the anatomical location of coronary arteriovenous fistulas and concomitant cardiac comorbidities. Surgical closure with ligation of coronary arteriovenous fistulas can be performed easily with on-pump or off-pump coronary artery bypass grafting, even in asymptomatic patients to prevent fistula related complications with very low risk of mortality and morbidity.

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Section: Discussionmentioning

confidence: 99%

“…CAVFs are commonly congenital, but rarely may be acquired due to angioplasty, postcardiac surgery or after trauma [3,4] . CAVFs are present in 0.002% of the general population and they are detected in 0.3-0.8% of the patients undergoing diagnostic cardiac catheterization [5,6] .…”

Section: Introductionmentioning

confidence: 99%

Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes

Albeyoğlu¹,

Aldağ²,

Ciloglu³

et al. 2017

Braz J Cardiovasc Surg

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“…The vast majority of the published literature focuses on recognition and treatment of bleeding into the pericardial space. There are rare case reports surrounding perforation into a cardiac chamber or vein published 3,8‐11 . To the best of our knowledge, this is the first published case of a wire perforating into a cardiac vein misdiagnosed as a pericardial space perforation, with standard salvage techniques leading to the formation of a large AVF.…”

Section: Discussionmentioning

confidence: 87%

“…Coronary artery perforation (CAP) is one of the most feared complications of percutaneous coronary intervention, with an estimated mortality approaching 20% 1,2 . Rarely, guidewire perforation into a cardiac chamber or another vessel has been reported and is classified as an Ellis type 3 cavity spilling perforation 3 . We describe an unfortunate case of CAP during intervention for anterior ST‐elevation myocardial infarction (STEMI).…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Rarely, guidewire perforation into a cardiac chamber or another vessel has been reported and is classified as an Ellis type 3 cavity spilling perforation. 3 We describe an unfortunate case of CAP during intervention for anterior ST-elevation myocardial infarction (STEMI). The guidewire exited the left anterior descending (LAD) artery and perforated into the anterior interventricular vein (AIV).…”

Section: Introductionmentioning

confidence: 99%

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Unrecognized perforation into the anterior interventricular vein complicating PCI for anterior STEMI: An unexpected detour

Rothstein

DeVries

Young

2021

Clinical Case Reports

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Coronary artery fistula and lung adenocarcinoma: a case report and literature review

et al. 2021

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Coronary artery fistula (CAF) is a rare condition, whilst lung cancer is one of the most common malignant tumors worldwide. We came cross an interesting case with both diseases. To the best of our knowledge, this is the first case report pertaining to a patient with a coexisting CAF and lung adenocarcinoma. The patient was a 67-year-old woman who was admitted to our hospital for evaluation of persistent cough. Through the examination she was diagnosed coronary artery fistula and lung adenocarcinoma. Both diseases were successfully treated in a single operation (artery ligation and pulmonary lobectomy). The post-operative period was uneventful. At 3-month follow-up, there were no signs of blood shunting or cancer recurrence. There is no standard guidelines to treat both diseases. We want to seek out a solution to the problem. In this patient, we successfully performed artery ligation and pulmonary lobectomy in a single operation without any complications. We believe the treatment of patients with CAFs should be individualized. But, there is still a lot of shortcomings in our research. First of all, we have no enough cases to support our approach. What's more, the long-term effects of the operation are not certain. Last but not least, we have no proof in genetics with both diseases.

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Coronary Arteriovenous Fistula Secondary to Iatrogenic Coronary Perforation

Cited by 3 publications

References 0 publications

Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes

Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes

Unrecognized perforation into the anterior interventricular vein complicating PCI for anterior STEMI: An unexpected detour

Coronary artery fistula and lung adenocarcinoma: a case report and literature review

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