Coronary fistula between the left anterior descending coronary artery and the pulmonary artery: Two case reports

Ibrahim, Mohamed F.; Sayed, Sameh; Elasfar, Abdelfatah; Sallam, Ayman; Fadl, Mazin H.; Baradai, Abdulaziz Al

doi:10.1016/j.jsha.2012.07.004

Cited by 10 publications

(8 citation statements)

References 13 publications

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“…Many reports have revealed that the majority of CAVF patients remain asymptomatic, especially during the first two decades of life, [5,13,[15][16][17] whereas fewer have documented the occurrence of spontaneous closure. [6,18,19] Consequently, when evaluating the relatively scarce number of patients in our study, we noted that a management strategy similar to the one used by Liang et al [17] was employed. Their approach was to evaluate the symptomatic patients according to the degree of elevation of shunt magnitude and follow them up for six months to check for an enlarged persistency of dilatation of the coronary arteries.…”

Section: Discussionmentioning

confidence: 92%

“…[5] There is a general consensus that symptomatic patients should be treated, although several reports have also demonstrated spontaneous closure. [6] Choosing between surgical intervention and transcatheter closure of the fistula is still tricky. However, trans-catheter closure seems reasonable in certain circumstances including fistulas with favorable anatomy (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…nontortuose vessel), the fistula in which distal portion is suitable for device closure, the fistula with narrowing distal end which avoid embolization, and the fistulas in which have no other indications for surgery. [6,7] The ideal management strategy for patients with fistulas must be individualized. [8,9] Fistulas which originate from the proximal part of the coronary artery run the risk of a late giant aneurysm, dilation of the proximal coronary artery, and rupture.…”

Section: Discussionmentioning

confidence: 99%

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Congenital coronary arteriovenous fistulas: an evaluation of 10 pediatric patients

Doksöz¹,

Küçük²,

Genç³

et al. 2015

Turk Gogus Kalp Dama

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Bu çalışmada doğuştan koroner arteriyovenöz fistüllerin (KAVF) özellikleri değerlendirildi ve tedavi zamanı tartışıldı. Ça lış ma pla nı: Ocak 2008-Aralık 2012 tarihleri arasında hastanemizde 10 pediyatrik hastaya KAVF tanısı konuldu. Demografik özellikler, semptomlar, klinik bulgular, elektrokardiyografi, ekokardiyografi, anjiyografi bulguları ve tedavi sonrası klinik seyir geriye dönük olarak değerlendirildi. Bul gu lar: Doğuştan koroner arteriyovenöz fistüller altı hastada sol koroner arterden, üç hastada sağ koroner arterden ve bir hastada sol sirkümfleks arterden köken alıyordu. Çoğu KAVF'lerin drenaj yeri beklenildiği gibi sağ ventriküle olurken, sırasıyla 2 ve 1 olmak üzere pulmoner arter ve sağ atriyum sık olan diğer drenaj yerleriydi. Şant miktarının derecesi ve koroner arter genişlemesinin sürekliliği açısından hastalar altı ay süreyle takip edildi. Cerrahi veya transkateter kapatmaya dayalı uygun girişim hastaya göre seçildi. Üç hastada fistüllerin anatomik özelliklerinin kateter dayalı kapama için uygun olmamasından dolayı, tedavi seçeneği olarak cerrahi ligasyon tercih edildi. Kateter dayalı girişimsel kapama bir hastada başarılı olmadı ve cerrahi ligasyon yapıldı. So nuç: Çalışma bulgularımız, özellikle ileri yaşta kalp yetmezliği, miyokard iskemisi, infektif endokardit ve aritmi gibi komplikasyon riskinin yüksek olması nedeniyle, KAVF'nin çocukluk çağında teşhis edilmesinin önemli olduğunu göstermektedir. Anah tar söz cük ler: Doğuştan; koroner arteriyovenöz fistül; ekokardiyografi.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Congenital coronary arteriovenous fistulas: an evaluation of 10 pediatric patients

Doksöz¹,

Küçük²,

Genç³

et al. 2015

Turk Gogus Kalp Dama

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“…Coronary artery fistulae are uncommon congenital abnormalities of the coronary arteries or more seldom acquired conditions and can occur iatrogenic after cardiac surgery like coronary artery bypass surgery or cardiac transplantation, or as a complication of coronary angioplasty and myocardial biopsy [4].…”

Section: Discussionmentioning

confidence: 99%

Coronary pulmonary fistula: A case series

Caenegem¹,

Vandekerckhove²

2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comCoronary pulmonary fistula: A case series Maarten Van Caenegem, Hans Vandekerckhove ABSTRACT Introduction: Coronary artery fistulas (CAF) are congenital or acquired coronary artery anomalies, circumventing the myocardial capillary network by directly draining the blood into a great vessel, cardiac chamber, or other vascular structure. Clinical manifestations vary considerably with presentation of dyspnea, congestive heart failure, angina, endocarditis, arrhythmias, or myocardial infarction. Case Report: We report two cases, one between the right coronary artery (RCA) and the pulmonary artery, whereas the other between the circumflex artery (RCX) and the pulmonary artery. We describe our diagnostic methodology and analyze literature on the epidemiology, the diagnostic workout and the treatment possibilities. Conclusion: Despite the role of non-invasive imaging for diagnosis and identification of the location of CAF including the origin and insertion of the recipient vessel, cardiac catheterization and coronary angiography remain the preliminary diagnostic tools for the precise allocation of coronary anatomy, for assessment of its hemodynamic importance, and to show other structural abnormalities.

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“…Coronary artery fistulas (CAF) are congenital or acquired formations between the coronary arteries and cardiac chambers or other vascular structures such as the vena cava, pulmonary artery, or veins [ 1 ]. Most of these are found incidentally during angiography [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Right coronary artery stenosis unmasking ischemia in a patient with bilateral coronary pulmonary fistulas

Abdullah

Mansour

Allaham

et al. 2017

pwki

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Coronary fistula between the left anterior descending coronary artery and the pulmonary artery: Two case reports

Cited by 10 publications

References 13 publications

Congenital coronary arteriovenous fistulas: an evaluation of 10 pediatric patients

Congenital coronary arteriovenous fistulas: an evaluation of 10 pediatric patients

Coronary pulmonary fistula: A case series

Right coronary artery stenosis unmasking ischemia in a patient with bilateral coronary pulmonary fistulas

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