Steal and strain: A case of coronary artery fistula presenting with coronary steal syndrome and underlying bronchiectasis

Narh, Joshua Tetteh; Zahid, Erum; Shivaraj, Kiran; Sahni, Sonu; Kariyanna, Pramod Theetha; Khan, Abdullah

doi:10.1016/j.rmcr.2020.101301

Cited by 4 publications

(6 citation statements)

References 18 publications

(18 reference statements)

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“…Twenty-three cases of nail gun injury to the heart were found, with right chambers most commonly involved as penetration site (Table 1). Unlike our patient, all cases Treatment options for symptomatic patients may include (1) surgical correction with ligation of feeding vessels of the coronary artery fistula 25 with or without bypass grafting of the distal vessel or…”

Section: Discussionmentioning

confidence: 97%

“…Treatment options for symptomatic patients may include (1) surgical correction with ligation of feeding vessels of the coronary artery fistula 25 with or without bypass grafting of the distal vessel or (2) percutaneous closure with coil embolization 22 . However, there are currently no well‐designed guidelines for deciding whether and how to treat a coronary to pulmonary artery fistula.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Penetrating chest injury afflicting coronary artery fistula—A delayed and asymptomatic occurrence

Albacker

AlZahrani

Almansour

et al. 2021

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Penetrating chest injury afflicting coronary artery fistula—A delayed and asymptomatic occurrence

Albacker

AlZahrani

Almansour

et al. 2021

Journal of Cardiac Surgery

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“…Hence, accurate assessment of the origin and drainage site is necessary to identify steal, which results from decreased perfusion of the myocardium distal to the fistula, secondary to a coronary steal phenomenon. [ 9 ] The steal phenomenon is responsible for angina, which usually occurs in conditions of extreme oxygen demand such as exercise. Gradients across the artery and the drainage area determine the extent of shunt in the coronary fistula.…”

Section: Origin and Causes Of Coronary Artery Fistulamentioning

confidence: 99%

Coronary Artery Fistula: A Diagnostic Dilemma

Kumar,

O’Connor

et al. 2023

Interv Cardiol

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Coronary artery fistula (CAF), although one of the rare coronary anomalies, is becoming increasingly more detectable in the recent years due to advancements in cardiac diagnostic imaging. Its long-term prognostic implications and importance for the cardiovascular system remain a dilemma for cardiologists and patients. Based on a variety of haemodynamic symptoms and complications, cardiologists must be aware of the characteristics of CAF and the diagnostic importance of multi-slice CT in evaluation, pre-procedural management and follow-up. Both surgical and percutaneous options are available for symptomatic patients or those with complications, while management of asymptomatic CAF remains a viable alternative.

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“…Patients with a single narrow drainage site, a proximal fistula origin, no multiple fistulas or large branch vessels, and/or no associated cardiac problems are increasingly opting for coil embolization for Complex Coronary artery to Pulmonary artery fistulas. [6] Case Illustration Currently invasive coronary angiography is the gold-standard diagnostic procedure. Nevertheless, CTCA is emerging as a new, safer and noninvasive diagnostic approach that also gives threedimensional anatomical information [1] .…”

Section: Introductionmentioning

confidence: 99%

Fistula Coronary and Coronary Steal Syndrome: A Case Report

Handari¹,

Lestari

2022

CCJ

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Background: A coronary artery fistula (CAF) is an aberrant vascular contact of coronary arteries with cardiac chambers or any section of the pulmonary or systemic circulation, which accounts for 0.3% of congenital heart disorders. CAFs have been observed to be as common as 0.9% at computed tomographic (CT) angiography, which is greater than the previously estimated prevalence of 0.002 – 0.3% at invasive angiography. Case Summary: A 76-year-old woman reported with repeated episodes of chest pain. A considerable diameter of fistula from the proximal LAD and proximal RCA to the MPA was discovered on CT angiography, which could be the cause of coronary steal syndrome. Microflex10 7 mm/22 cm was used to perform coil embolization at the proximal RCA. After the procedure, the patient had no more chest pain. Discussion: CT angiography is usefsul for determining coronary architecture and guiding therapeutic intervention. CAF data was gathered during pre- and post-procedural CT angiography evaluations. Keyword: Fistula coronary, coronary steal syndrome, CCTA, percutaneous coil embolization

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Steal and strain: A case of coronary artery fistula presenting with coronary steal syndrome and underlying bronchiectasis

Cited by 4 publications

References 18 publications

Penetrating chest injury afflicting coronary artery fistula—A delayed and asymptomatic occurrence

Penetrating chest injury afflicting coronary artery fistula—A delayed and asymptomatic occurrence

Coronary Artery Fistula: A Diagnostic Dilemma

Fistula Coronary and Coronary Steal Syndrome: A Case Report

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