Giant congenital left main coronary artery fistula to the superior vena cava in an adult patient with coronary artery disease

Kouerinis, Ilias A.; Deligianni, Martha; Maniatis, V.; Elefteriadis, Ilias; Kourtesis, Antonios; Michalopoulos, Nikolaos V.

doi:10.1016/j.jtcvs.2007.07.004

Cited by 3 publications

(6 citation statements)

References 4 publications

(5 reference statements)

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“…in the 1990s. Surgical ligation successfully closed fistulas in 50% to 100% of cases 1 . Complications of surgery included arrhythmias, transient ischemic attacks, and stroke.…”

Section: Discussionmentioning

confidence: 98%

“…The majority of fistulae arise from the right coronary artery and, less commonly, from the left coronary artery. Fistulae most commonly drain into either the pulmonary artery or right ventricle (RV), with possible drainage sites that may include RA, RV outflow tract, left atrium (LA) and left ventricle (LV) 1,4 …”

Section: Discussionmentioning

confidence: 99%

“…Symptoms range from arrhythmias to bacterial endocarditis, congestive heart failure, and fistula rupture leading to cardiac tamponade. Treatments include observation, ligation with or without cardiopulmonary bypass, ligation with concomitant coronary artery bypass, or transcatheter embolization 1,5 . Mortality of surgical ligation ranges from 0% 1,6 in the 1980s to 1.4% 1,4 .…”

Section: Discussionmentioning

confidence: 99%

“…In 1983, the transcatheter approach was introduced, and has progressed to include coils, detachable balloons, and umbrella devices. Transcatheter approach resulted in complete closure rate of 82%, with complications including ST‐T wave changes, arrhythmias, coronary artery spasm, fistula dissection, and unretrieved coil embolization 1,4 . Thirty‐seven percent of fistulae were anatomically suitable to undergo catheter closure.…”

Section: Discussionmentioning

confidence: 99%

“…Coronary artery fistula is a rare condition that can present with a wide variety of symptoms, including dyspnea, angina, and infarction due to coronary steal syndrome 1 . Some patients are asymptomatic.…”

mentioning

confidence: 99%

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Left Main Coronary Artery Fistula to the Right Atrium and Superior Vena Cava: Case Report and Review of the Literature

Hassan¹,

Gologorsky

Ricci³

et al. 2010

Journal of Cardiac Surgery

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“…in the 1990s. Surgical ligation successfully closed fistulas in 50% to 100% of cases 1 . Complications of surgery included arrhythmias, transient ischemic attacks, and stroke.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Left Main Coronary Artery Fistula to the Right Atrium and Superior Vena Cava: Case Report and Review of the Literature

Hassan¹,

Gologorsky

Ricci³

et al. 2010

Journal of Cardiac Surgery

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Ectatic-Fistulous Coronary Artery Lesion: A Newly Proposed Nomenclature

Karathanasis¹,

Mathew²,

Kouerinis³

et al. 2016

Int Cardiovasc Res J

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Congenital Coronary Artery Fistulae (CAF) originating from Right Coronary Artery (RCA) and draining into Coronary Sinus (CS) demonstrate high gradients and high flows, which result in ectasia of the entire artery. The anatomic margin between the ectatic RCA and the fistula are not clear and most cardiologists and cardiac surgeons tend to misname the entire vessel as "fistula". We presented a 60-year-old female with multiple CAF draining into CS. The fistula originating from the RCA was huge and caused severe ectasia of the entire artery. The patient had progressive breathlessness due to high left to right shunt. Both fistulae were ligated under cardiopulmonary bypass. Our introduced term "ectatic-fistulous lesion" comes to address the confusion with nomenclature. It not only offers the theoretical advantage of precise description of the above complex pathology, but also allows the cardiac team to identify the anatomical margins between the ectasia and the fistula and, thus, to proceed to closure of the coronary fistula with safety.

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Percutaneous Closure of Right Coronary to Superior Vena Cava Fistula

et al. 2019

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Coronary artery to superior vena cava (SVC) fistula is a very rare congenital anomaly of the heart. It typically follows the course of sinoatrial-nodal branch. It can originate from the right coronary or circumflex artery. In the majority of cases, it terminates in the SVC close to the right atrium junction. Only five cases were treated in literature successfully through a transcatheter approach. We present a case with a symptomatic right coronary artery to SVC fistula treated with a unique percutaneous embolization using a guidewire loop/balloon occlusion technique. Controlled access and embolization of the fistula was achieved by through-and-through guidewire access across the coronary fistula from the arterial groin access to the venous groin access with balloon occlusion of the coronary artery fistula while detachable coils were positioned.

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Giant congenital left main coronary artery fistula to the superior vena cava in an adult patient with coronary artery disease

Cited by 3 publications

References 4 publications

Left Main Coronary Artery Fistula to the Right Atrium and Superior Vena Cava: Case Report and Review of the Literature

Left Main Coronary Artery Fistula to the Right Atrium and Superior Vena Cava: Case Report and Review of the Literature

Ectatic-Fistulous Coronary Artery Lesion: A Newly Proposed Nomenclature

Percutaneous Closure of Right Coronary to Superior Vena Cava Fistula

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