Giant fistula of the right coronary artery to superior vena cava diagnosed on MSCT

Opitz, A; Fraunhofer, Johannes; Mang, Stefan; Moshage, Werner

doi:10.1007/s00392-007-0468-6

Cited by 2 publications

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“…This type of anomaly should be suspected when the following combination of signs or symptoms coexist: dyspnea, endocarditis with vegetation in an uncommon site, arrhythmias, and continuous machinery murmur at parasternal borders. Two‐thirds of these cases showed cardiomegaly on x‐ray, and 16.5% of these cases showed a left‐to‐right shunt and pulmonary plethora . Electrocardiogram is usually not abnormal .…”

Section: Discussionmentioning

confidence: 99%

“…Two-thirds of these cases showed cardiomegaly on x-ray, and 16.5% of these cases showed a left-to-right shunt and pulmonary plethora. [12][13][14][15][16][17] Electrocardiogram is usually not abnormal. 18 The "gold standard" diagnostic tool is coronary angiography which could assess the hemodynamics of CAF, quantifying the shunt, identifying the fistula origin and termination, as well as identifying multiple fistulae.…”

Section: Discussionmentioning

confidence: 99%

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Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

2015

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Coronary artery fistulae (CAF) are rare congenital anomalies and reported to have an incidence of 0.1-0.2% of all coronary angiograms. An association between fistulae and nonatherosclerotic coronary artery aneurysms is even more rare. In childhood, patients are mostly asymptomatic; however, patients older than 20 years old may present with signs of infective endocarditis, myocardial ischemia, congestive heart failure, and aneurysm rupture. CAF are typically identified by coronary angiography; however, there are some limited studies showing that transesophageal echocardiography (TEE) can also be useful in identifying CAF. Here we report two cases of endocarditis secondary to congenital coronary artery fistulae draining into either a cardiac cavity or a coronary sinus, which were detected by TEE. Vegetations were found at the site of the fistulae drainage. Management for young patients is either percutaneous or surgical intervention. For elderly patients with multiple comorbidities, conservative treatment is another option. In these two cases, treating endocarditis with proper antibiotics and supportive treatment, the patients' conditions improved significantly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

2015

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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 fistula of the right coronary artery to superior vena cava diagnosed on MSCT

Cited by 2 publications

References 4 publications

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

Percutaneous Closure of Right Coronary to Superior Vena Cava Fistula

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