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Coronary artery fistulae (CAF) are classified as abnormalities of a chamber of the heart (coronary-cameral fistula) or any segment of the. Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these. Coronary artery fistulas: clinical and therapeutic considerations. Coronary artery to pulmonary artery fistulae with multiple aneurysms: radiological features on dual-source slice . MDCT in the Evaluation of Coronary Cameral Fistula.

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Coronary artery fistula in the heart transplant patient.

Coronary-cameral fistulas in adults (first of two parts)

In two patients successful percutaneous coronary intervention PCI procedures for fistula-bearing and non-fistula-bearing vessels were performed for the relief of complaints. Circumflex coronary artery; d: Mitral valve plasty; MVR: Reversible[ 42 ] or permanent[ 43 ] T-wave inversions either associated with multilateral or unilateral congenital MMFs have been reported.

These fistulae are asymptomatic in the majority of cases and are detected incidentally. Shunt characteristics The magnitude of the shunt of MMFs may be considerable.

Cardiac imaging in a symptomatic patient with multiple coronary artery-left ventricular microfistulae. Left ventricular chamber dimensions and wall thickness by cardiovascular magnetic resonance: Multiple coronary to left ventricular fistulae. Author information Copyright and License information Disclaimer.

Symptomatic Coronary Cameral Fistula

Coronary-cameral fistulas CCFs are defined as single or multiple, small or large direct communications that arise coornary one or more coronary arteries and enter into one of the four cardiac chambers right atrium RA and ventricle RV and left atrium LA and ventricle LV [ 12 ].

Cameral fistulae are recognized to be associated with regional hypertrophy as in this case although it is unclear whether hypertrophy in this context is a cause or effect of the abnormal coronary anatomy. This article has been cited by other articles in PMC. Articles from Heart Views: Apical hypertrophic cardiomyopathy associated with multiple coronary artery-left ventricular fistulae: After intravenous diuresis, the patient had left heart catheterization for evaluation of her new onset systolic heart failure and was found to have a fistula connecting distal left anterior descending artery LAD and first obtuse marginal artery OM1 to the left ventricular cavity Figures 1 and 2Movie S1 in Supplementary Camrral available online at https: In addition, pre-existent congenital multilateral fistulas from coronagy 3 epicardial coronary arteries have been reported in a heart transplant recipient, which were detected after transplantation during routine coronary angiography[ 50 ].


N Engl J Med. Congenital heart defect, Congenital coronary artery-ventricular multiple micro-fistulas, Congenital coronary-cameral fistulas, Coronady angiography.

Symptomatic Coronary Cameral Fistula

Abstract Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. In another 2 of the 3 patients presented with syncope, with extensive MMFs, a prophylactic implantable cardioverter-defibrillator ICD was implanted.

J Thorac Cardiovasc Surg. The trabeculated appearance of the LV on transthoracic echocardiography in this case raised the suspicion of left ventricular non-compaction; however, inspection of the colour Doppler imaging clearly revealed a sustained flow of blood from the epicardial surface to the LV cavity throughout diastole more suggestive of a coronary fistula.

Angiographic and clinical manifestations of coronary fistulas in Chinese people: Symptoms ensued in the 6 th decade of life.

Imaging with colour flow Doppler demonstrated blood flow from the epicardial surface into the left ventricular cavity through the hypertrophied segment of myocardium during diastole. Percutaneous coronary intervention; PAF: Sick sinus syndrome; TIA: Statistical analysis Continuous variables are expressed as means and ranges and categorical variables were presented as percentages.


Coronary artery anomalies occur in less than one percent of the general population [ 1 ]. The echocardiographic appearances of coronary fistulae may cause diagnostic confusion, particularly in the presence of myocardial hypertrophy and trabeculation.

coronqry Coexistence of coronary cameral fistulae and cor triatriatum sinister in an elderly patient. The best way to manage cameral fistulae is uncertain largely due to the rarity of the condition.

Coronary–cameral fistula

Korean J Intern Med. Characterisation of coronary artery fistula by multi-slice computed tomography.

Multiple fistulae of coronary arteries to both fsitula. Please check for further notifications by email. Various percutaneous catheter techniques have been employed, including Gianturco coils, interlocking detachable coils, detachable balloons, polyvinyl alcohol foam, double umbrellas, the Amplatzer duct occluder, and the Amplatzer vascular plug.

Noninvasive assessment of myocardial bridging in the left coronary artery by transthoracic Doppler echocardiography. Coronary artery-left ventricular fistula with angina pectoris.

Since the patient was symptomatic, surgical closure of the fistula was done. In this case, the diagnosis was established by conventional coronary angiography, though the coronary anatomy may alternatively be delineated using computed tomography coronary angiography.

The postsurgical course was uneventful with resolution of chest pain and dyspnea. CT also showed the absence of ifstula coronary atherosclerosis.

Case Reports in Cardiology.