Right coronary artery-to-left ventricle fistula identified by transesophageal echocardiography

Tsai, Liang Miin; Chen, Jyh Hong; Teng, Jeng Kai; Fang, Ching Jing; Lin, Li Jen; Kwan, Chi Ming

doi:10.1016/0002-8703(92)91009-p

Cited by 9 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 92%

“…The majority of published reports did not include the focus of infection and no predisposing factors for bacterial endocarditis were acquainted. Dental procedure preceded the occurrence of IE in the case reported by Tsai et al 41 Staphlyococci 14 have been isolated in a few cases, but Streptococcus species are the most commonly isolated microorganisms from blood cultures. 9,35 This was the case in the present review, as Streptococcus species were predominant (56%).…”

Section: Discussionmentioning

confidence: 96%

“…In the current review, the applied treatment modalities included intravenous antibiotics, surgical ligation of the fistulas combined with or without CABG and valve repair and single or multiple valve replacement …”

Section: Discussionmentioning

confidence: 99%

“…In the current review, the applied treatment modalities included intravenous antibiotics, 4,41,45,49 surgical ligation of the fistulas 14,38 combined with 3,11 or without CABG and valve repair 50 and single or multiple valve replacement. 8,15,16 In our current review, surgical closure of the fistula was frequently performed (64%), after completing effective antibiotic treatment, but PTE was successfully performed in some selected cases (8%).…”

Section: Mechanism Of Left-sided Valve Involvement In Right-sided Orimentioning

confidence: 99%

See 3 more Smart Citations

Characteristics of Congenital Coronary Artery Fistulas Complicated with Infective Endocarditis: Analysis of 25 Reported Cases

Saïd

2016

Congenital Heart Disease

View full text Add to dashboard Cite

Congenital coronary artery fistulas (CAFs) are infrequent congenital coronary artery anomalies. Complications such as left-to-right shunt, congestive heart failure, myocardial infarction, pericardial effusion, aneurysm formation, rupture, hemopericardium, pulmonary hypertension, infective endocarditis (IE), syncope, stroke, and sudden death may occur with a variable low frequency. To describe the clinical characteristics of patients with CAFs complicated by IE. A search was conducted through PubMed using the terms "CAFs" and "IE." Papers with a full description of the fistula characteristics and detailed data regarding bacterial endocarditis were included for evaluation. In the overall group of reviewed subjects (n = 25, 9 females), the mean patient age was 42.5 years (range: 16 and 87). The right coronary artery (RCA) and left coronary artery (LCA) contributed equally to fistula formation. Terminations into the right heart side occurred in 19 (76%) fistulas. The majority of the fistulas (92%) were unilateral. The cultured microorganism was Streptococcus in 14 (56%) and Staphylococcus in 4 (16%) of the reviewed subjects. Echocardiographic single or multiple valvular regurgitation was found in 8 (32%) of the reviewed subjects. Small and large intracardiac vegetations were detected in 18 patients (72%). Antibiotic therapy was initiated in 20 (80%) subjects and 16 fistulas were treated surgically. During surgery, spontaneous closure of the fistula was observed in one patient. Percutaneous therapeutic embolization (PTE) was successfully performed in two subjects. CAFs complicated by IE may affect all age groups with a slight male preponderance. Unilateral fistulas, either arising from the right or left coronary artery, are predominant, draining mainly into the right heart side. It is emphasized that antibiotic prophylaxis is strongly advised for pediatric and adult patients with congenital CAFs.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Mechanism Of Left-sided Valve Involvement In Right-sided Orimentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of Congenital Coronary Artery Fistulas Complicated with Infective Endocarditis: Analysis of 25 Reported Cases

Saïd

2016

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

“…TEE may detect coronary anomalies and is particularly useful to identify the origin, course and drainage site of a fistula with better image resolution than conventional TTE (14–17). It was suggested that TEE is the investigation of choice in patients suspected with aorto‐atrial shunting after clinical examination and routine TTE studies (17).…”

Section: Discussionmentioning

confidence: 99%

Heart failure due to giant congenital aorto-right atrial fistula: report of a case

et al. 2005

International Journal of Clinical Practice

View full text Add to dashboard Cite

Coronary arterio-venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto-right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accurate diagnosis. Further haemodynamic and angiographic study proved this large CAVF with extraor-dinary oxygen saturation step-up (26%) and large pulmonary to systemic shunt (Qp/Qs 5 4.25). It was corrected by surgery because of evidence of heart failure and the possible risk of endocarditis and coronary steal effect.

show abstract

Congenital Coronary Artery Anomalies

Frommelt¹

2013

Transesophageal Echocardiography for Congenital Heart Disease

View full text Add to dashboard Cite

Right coronary artery-to-left ventricle fistula identified by transesophageal echocardiography

Cited by 9 publications

References 6 publications

Characteristics of Congenital Coronary Artery Fistulas Complicated with Infective Endocarditis: Analysis of 25 Reported Cases

Characteristics of Congenital Coronary Artery Fistulas Complicated with Infective Endocarditis: Analysis of 25 Reported Cases

Heart failure due to giant congenital aorto-right atrial fistula: report of a case

Congenital Coronary Artery Anomalies

Contact Info

Product

Resources

About