Rupture of aneurysmal coronary-to-pulmonary artery fistula in a 96-year-old female; report of a case

Murakami, Haruka; Nakanishi, Sentaro; Hirofuji, Aina; Kamiya, Hiroyuki

doi:10.1007/s11748-020-01488-y

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Although most young patients with CAF are clinically asymptomatic, as CAFs expand over time, the risk of complications, including chronic myocardial ischemia, congestive heart failure, arrhythmias, cardiomyopathy, LV hypertrophy, valvular regurgitation, and pulmonary hypertension, increases [10]. Furthermore, CAFs are associated with infective endocarditis, aneurysmal fistula rupture, and even sudden cardiac death [11][12][13]. The coronary steal phenomenon and volume overload play a decisive role in these processes [6].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Yan,

He,

Luo

et al. 2024

Coronary Artery Disease

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Background Coronary artery fistula (CAF) is a rare coronary anomaly. This study aimed to investigate the prevalence, clinical features, and imaging characteristics of CAF among patients undergoing coronary angiography (CAG). Method This was a retrospective study including 20 259 consecutive patients (12 458 were male) who underwent CAG at our institution from September 2018 to March 2023. Electronic angiography records were reviewed, and a total of 86 (0.42%) CAF patients were enrolled and analyzed. Result Of the 86 CAF patients, 42 (49%) were male. Thus, the prevalence of CAF for males and females was 0.34% and 0.56%, respectively. Arrhythmia, left ventricular (LV) hypertrophy, LV dilation, and LV systolic dysfunction were observed in 38, 25, 10 and 5 cases, respectively. Among the 86 CAF patients, a total of 117 CAFs were detected. 61 (71%) patients had a single CAF, and the remaining 25 (29%) patients had multiple CAFs. Of the 117 CAFs, the most common origins and terminations were the left anterior descending artery (n = 50) and the pulmonary artery (n = 73), respectively. The CAF diameters were greatly varied, ranging from unmeasurable to 7.8 mm, and 22 (18%) CAFs were larger than 3 mm. Conclusion In the present study, the prevalence of CAF was 0.42% with a female predilection. Arrhythmia, LV remodeling and dysfunction were common. Seventy-one percent of patients had a single CAF. The left anterior descending artery and the pulmonary artery were the most common origin and termination of CAFs, respectively. Most CAFs were small, and 18% of CAFs were larger than 3 mm.

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Section: Introductionmentioning

confidence: 99%

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Yan,

He,

Luo

et al. 2024

Coronary Artery Disease

View full text Add to dashboard Cite

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“…Potential complications include coronary artery aneurysm rupture and infective endocarditis. [ 1 , 4 , 5 ]. Patients at risk for these fatal complications are candidates for surgical or transcatheter treatment.…”

Section: Introductionmentioning

confidence: 99%

Surgical repair of a right coronary aneurysm with a coronary artery fistula to the right atrium

Yokoyama

Nagao

Higashida

et al. 2021

Journal of Surgical Case Reports

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A coronary artery fistula is a rare condition caused by abnormal coronary artery embryological development. Although most cases are asymptomatic, in some, the large shunt volume and the myocardial ischemia due to the steal phenomenon require surgical treatment. We present the case of a 40-year-old woman who presented with angina on exertion. Enhanced computed tomography showed a giant right coronary artery (RCA) aneurysm with an RCA-to-right atrium fistula. Because of the presence of symptoms and the presence of large fistulous tract, the patient was considered a surgical candidate. The procedure was performed under cardiopulmonary bypass. Ligation and closure of the fistula were performed in combination with dissection of the enlarged main trunk of the RCA and coronary artery bypass using the internal thoracic artery because of its potential for long-term patency. The postoperative course was uneventful.

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Rupture of aneurysmal coronary-to-pulmonary artery fistula in a 96-year-old female; report of a case

Cited by 2 publications

References 8 publications

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Surgical repair of a right coronary aneurysm with a coronary artery fistula to the right atrium

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