Multicystic aneurysmal dilatation of bilateral coronary artery fistula

Takahashi, Masafumi; Sekiguchi, Hiromichi; Fujikawa, Hideyuki; Mito, Hideaki; Eto, Masato; Hojo, Yukihiro; Chiba, Y; Kitamura, Satoshi; Shimada, Kazuyuki

doi:10.1002/ccd.1810310409

Cited by 9 publications

(4 citation statements)

References 13 publications

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“…Aneurysmal formation has been reported in unilateral [42,56] and bilateral [18,19,52] fistulas. Rupture of congenital aneurysmal fistulas occurred more often in female patients, especially when there is a saccular type of aneurysm originating from the LAD [57].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence is estimated at 0.1-0.4% of the adult coronary angiographic population [16,17]. However, an abnormal shadow on the chest X-ray may bring CAF under the attention of practitioners [9,11,18,19]. Several noninvasive investigation techniques have been used for the functional assessment of CAF, such as myocardial perfusion scanning [20,21], contrast TEE [13] and dobutamine stress echocardiography [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Gender-related differences in octogenarians with congenital coronary artery fistula: a report of two cases and a review

2011

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Aim To highlight gender-related differences in octogenarians with a congenital coronary artery fistula (CAF). Materials and methods We present two elderly female patients with a congenital fistula, a septuagenarian and a nonagenarian, and review the world literature between 1954-2010. Results The septuagenarian patient presented with easy fatigability and the nonagenarian patient with acute myocardial infarction contralaterally to the fistula. Coronary angiography (CAG) demonstrated a coronary-pulmonary artery fistula (CPF). The nonagenarian patient underwent percutaneous coronary intervention of the right coronary artery. CAG revealed a CPF associated with a huge multiple aneurysmal formation. Data from 57 mainly symptomatic patients with a mean age of 75.3 years (range 70-87 years) were collected. The cohort was subdivided into female (mean age 84.3 years) and male (mean age 75.2 years) subgroups and compared with each other. Multi-origin (bilateral and multilateral) was prevalent in females, 40% versus 12% in males. Aneurysmal formation was found in females and males in 40% and 18%, respectively. Ethnicity was 65% Caucasian and 35% Asian. Multi-origin fistulas were prevalent in the Asian (45%) compared with the Caucasian (11%) subset. Conclusions A septuagenarian and a nonagenarian female patient with congenital CAF are presented. On reviewing the literature, important differences were found between elderly females and males with congenital CAF.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gender-related differences in octogenarians with congenital coronary artery fistula: a report of two cases and a review

2011

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“…[4][5][6][7][8][9] Coronary-pulmonary artery fistula is a very rare congenital anomaly of the coronary artery. Although coronary artery fistula is the most common congenital anomalies of the coronary arteries, the reported angiographic prevalence of this anomaly ranges only from 0.1% to 0.20/0.2,3 Many fistulas are small and found incidentally during coronary arteriography, and approximately half the patients with these anomalies remain asymptomatic; whereas the other half develop congestive heart failure, infective endocarditis, superior vena cava syndrome, arrhythmia, sudden death, myocardial ischemia induced by a coronary steal phenomenon, or rupture of an aneurysmal fistula.…”

Section: Introductionmentioning

confidence: 99%

Coronary-Pulmonary Artery Fistula Associated with Right Heart Failure: Successful Closure of Fistula with a Graft Stent

Atmaca

Altın²,

Ozdol³

et al. 2002

Angiology

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Coronary artery fistula constitutes a rare congenital anomaly. The reported incidence of this anomaly ranges from 0.1% to 0.2% of the population undergoing coronary angiography. Coronary-pulmonary artery fistula is an extremely rare congenital anomaly of the coronary artery. Its real incidence is unknown. The authors report a case of coronary-pulmonary artery fistula that caused right heart failure in a 77-year-old woman. The fistula, arising from a proximal portion of the circumflex artery to the pulmonary artery, was sealed successfully using a Jostent (polytetrafluoroethylene-covered graft stent).

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“…[1][2][3] Recently, with the widespread use of coronary angiography, they have been recognized more often. Although young patients with coronary artery fistulas frequently remain asymptomatic, about half of these patients develop cardiovascular symptoms, such as angina, dyspnea on exertion, and fatigue with aging.…”

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confidence: 99%

Prominent Systolic Coronary Flow in a Coronary Artery Fistula with a Giant Aneurysma.

Hori¹,

Matsubara²,

Nakagawa³

et al. 2001

Jpn Heart J

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SUMMARYA 68-year-old Japanese woman was admitted to hospital because of chest oppression during exertion. Coronary angiography showed a coronary artery fistula with a giant aneurysm, which originated from both the left anterior descending (LAD) and right coronary arteries. We investigated coronary blood flow velocity using the Doppler guide wire technique. The coronary flow pattern showed a very prominent systolic component, whereas the diastolic flow components were nearly normal before the operation at the LAD site proximal to the coronary artery fistula. This pattern returned to normal after the operation. This report describes the relationship between the coronary steal phenomenon and coronary flow dynamics investigated directly using the Doppler guidewire technique. ( 1-3) Recently, with the widespread use of coronary angiography, they have been recognized more often. Although young patients with coronary artery fistulas frequently remain asymptomatic, about half of these patients develop cardiovascular symptoms, such as angina, dyspnea on exertion, and fatigue with aging. 4) Chest pain associated with this anomaly is explained by the coronary steal phenomenon, based on the relief of angina after ligation of the coronary artery fistula. 4,5) However, little information is available concerning the relationship between the coronary steal phenomenon and coronary blood flow. Therefore, we investigated coronary blood flow velocity dynamics, before and after surgery, using the Doppler guide wire technique in a patient with a coronary artery fistula.

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Multicystic aneurysmal dilatation of bilateral coronary artery fistula

Cited by 9 publications

References 13 publications

Gender-related differences in octogenarians with congenital coronary artery fistula: a report of two cases and a review

Gender-related differences in octogenarians with congenital coronary artery fistula: a report of two cases and a review

Coronary-Pulmonary Artery Fistula Associated with Right Heart Failure: Successful Closure of Fistula with a Graft Stent

Prominent Systolic Coronary Flow in a Coronary Artery Fistula with a Giant Aneurysma.

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