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Coronary fistula

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https://www.readbyqxmd.com/read/27907931/koronararterienanomalien-diagnostik-und-klassifikation-auf-basis-der-ct-und-mrt-des-herzens-von-alcapa-bis-terminationsanomaliecoronary-artery-anomalies-diagnosis-and-classification-based-on-cardiac-ct-and-mri-cmr-from-alcapa-to-anomalies-of-termination
#1
Philipp Heermann, Walter Heindel, Christoph Schülke
Background Coronary artery anomalies encompass a clinically and anatomically variable spectrum including physiological variants and pathophysiologically relevant anomalies. The majority of the variants has no hemodynamic relevance and is often detected accidentally. The recognition of the rare and relevant anomalies that cause either relevant shunt volumes leading to myocardial ischemia or ventricular tachyarrhythmias with the risk of sudden cardiac death is of major importance. Methods This review is based on a literature search in PubMed conducted using the key words "coronary artery" and/or "anomaly" and/or "anomalous origin" and/or "myocardial bridging" and/or "coronary artery fistula" and/or "Bland-White-Garland" and/or "ALCAPA"...
December 1, 2016: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/27900349/symptomatic-bilateral-coronary-artery-fistula-to-pulmonary-artery-in-elderly-patient
#2
Francisco Pereira da Silva, Paulo Donato, Henrique Donato, Elisabete Jorge, Maria Joao Ferreira, Filipe Caseiro-Alves
We report the imaging findings of an uncommon coronary vascular termination anomaly, with fistula to the pulmonary artery. This 70 year old female patient presented unstable angina, showing a coronary artery fistula depicted in coronary angiogram from the left coronary to the pulmonary artery, with no significant atherosclerotic pathology. Due to development of ventricular tachycardia in stress echocardiogram examination, she was proposed for coronary fistula closure. Coronary CT was performed for procedure planning and allowed the identification of a second unsuspected fistula from the right coronary to the right pulmonary artery...
2016: European Journal of Radiology Open
https://www.readbyqxmd.com/read/27890910/left-circumflex-coronary-artery-aneurysm-with%C3%A2-arteriovenous-fistula-to-the%C3%A2-coronary-sinus-presenting-as-acute-coronary-syndrome
#3
Aleksander Siniarski, Paweł Rostoff, Bartosz Laskowicz, Radosław Rychlak, Jadwiga Nessler, Grzegorz Gajos
No abstract text is available yet for this article.
November 28, 2016: Polskie Archiwum Medycyny Wewnętrznej
https://www.readbyqxmd.com/read/27865179/right-coronary-artery-disappeared-after-giant-right-coronary-artery-fistula-draining-into-left-ventricle-occluded-by-vsd-occluder-what-we-can-learn-from-this
#4
EDITORIAL
Xuechao Tang, Feiyu Wang, Yuan Bai, Xiaohua You, Xudong Xu, Yongwen Qin
No abstract text is available yet for this article.
October 29, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27864609/myocardial-infarction-as-a-complication-of-bronchial-artery-embolization
#5
Hugo Labbé, Simon Bordeleau, Christine Drouin, Patrick Archambault
Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old man who developed an ST elevation myocardial infarction during bronchial artery embolization, presumably because of coronary embolism by injected particles. In this patient who had no previously known coronary artery disease, we retrospectively found a communication between the left bronchial artery and the circumflex coronary artery...
November 18, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27863365/preoperative-evaluation-of-coronary-artery-fistula-using-dual-source-computed-tomography
#6
Ke Shi, Hong-Ling Gao, Zhi-Gang Yang, Qin Zhang, Xi Liu, Ying-Kun Guo
OBJECTIVES: To evaluate the efficacy of dual-source computed tomography (DSCT) in assessing the morphological features, quantitative features, and associated coronary artery lesions among patients with coronary artery fistula (CAF) before surgery. METHODS: We enrolled 34 patients with CAF that were morphologically and quantitatively analyzed by DSCT and compared the analyses with surgical results (reference standard). The associated coronary artery lesions were also assessed...
November 9, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27861394/bilateral-coronary-artery-fistulas-with-a-giant-coronary-aneurysm-complicated-by-aneurysm-rupture-a-case-report
#7
Hui Li, Ying Zhao, Hui-Ping Zhang, Hu Ai, Nai-Xin Zheng, Guo-Dong Tang, Fu-Cheng Sun
RATIONALE: Coronary artery aneurysms and fistulas are not rare conditions in clinical practice, but bilateral fistulas with a giant coronary aneurysm in just one person are quite rare. PATIENT CONCERNS: We report a case of a 66-year-old woman with these 2 coronary abnormalities accompanied with a huge mediastinum mass. INTERVENTIONS: The giant aneurysm was ligated and the mass was resected which was proved to be an organized hematoma finally...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27847561/congenital-coronary-artery-fistulas-complicated-with-pulmonary-hypertension-analysis-of-211-cases
#8
Salah Am Said
AIM: To compare the behavior of pulmonary hypertension (PHT) associated with coronary artery fistulas (CAFs) between the Asian and Caucasian subjects. METHODS: CAFs may be complicated with PHT secondary to left-to-right shunt. Literature review limited to the English language. A total of 211 reviewed patients were collected. Of those, 111 were of Asian and 100 were of Caucasian ethnic origin. The mean age of the Asian and the Caucasian groups of patients were 48...
October 26, 2016: World Journal of Cardiology
https://www.readbyqxmd.com/read/27846815/endomyocardial-biopsy-via-the-femoral-access-still-safe-and-valuable-diagnostic-tool
#9
Sylwia Sławek, Aleksander Araszkiewicz, Agnieszka Gaczkowska, Justyna Koszarska, Damian Celiński, Marek Grygier, Maciej Lesiak, Stefan Grajek
BACKGROUND: The endomyocardial biopsy has proven to be an integral diagnostic tool for surveillance of cardiac allograft rejection and identification of myocardial diseases. Nevertheless, this invasive procedure is not risk-free. This study focuses on the risk of complications and diagnostic performance of right ventricular endomyocardial biopsy (EMB). METHODS: In this single-center retrospective study, we analyzed 315 EMB procedures performed between July 2008 and May 2015 in 73 patients...
November 15, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27843191/role-of-256-slice-mdct-in-the-evaluation-of-coronary-artery-fistula-a-case-series-with-review-of-literature
#10
Sunita Dashottar, R K Singh, S K Malani, Arti Sarin, H S Arora
No abstract text is available yet for this article.
October 2016: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27815412/minimally-invasive-approach-for-coronary-artery-fistula-correction
#11
Laichun Song, Bo Wang, Jing Jin, Zhengdong Hua, Huadong Yu, Liang Tao
OBJECTIVES: Minimally invasive cardiac surgery has recently become widespread. The aim of this study is to analyse the feasibility of a minimally invasive approach for coronary artery fistula (CAF) correction. METHODS: From February 2001 to June 2014, 49 patients in our centre underwent minimally invasive CAF correction without cardiopulmonary bypass (CPB). The mean age was 21.18 ± 11.24 years (range, 5 months to 64 years). Patients with cardiac anomalies who underwent CAF correction and those who underwent CAF via the minimally invasive approach with CPB were excluded...
November 3, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27804165/congenital-coronary-sinus-stenosis
#12
Guang Song, Wei Qiao, Weidong Ren, Yixin Chen, Ke Zhou
Congenital coronary sinus (CS) stenosis is a rare malformation. We present five patients with congenital coronary sinus stenosis (CSS) and identified another nine cases reported in the literature between 1980 and 2016. Congenital CSS may be associated with an unroofed CS, a coronary artery-coronary sinus fistula, or other cardiac anomalies. Congenital CSS may be detected by echocardiography, multidetector row computed tomography, and intra-operative evaluation. Congenital CSS can occur at the ostium, lumen, and origin of the CS...
November 2, 2016: Echocardiography
https://www.readbyqxmd.com/read/27801662/coronary-fistula-and-myocardial-ischemia-what-is-the-relationship
#13
Ashish H Shah, Robert J Cusimano, Maral Ouzounian
Coronary artery fistula is a rare anomaly; large fistulae may result in myocardial ischemia from coronary steal. We present the case of a 73-year-old male who presented with exertional angina; imaging demonstrated severe coronary artery disease and a large coronary artery fistula. Ligation of the fistula resulted in severe right ventricular failure and cardiogenic shock. After reestablishing flow to the fistula, the patient recovered. We speculate that the ischemia-induced angiogenesis from the congenitally present fistula made what may have otherwise been an innocent fistula into an important nutritive supply, which remained important despite distal revascularization...
November 2016: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/27783878/an-elephant-trunk-appearance-what-is-the-diagnosis
#14
Roopali Khanna, Deepchandh Raja, Pravin K Goel
Coronary cameral fistula is a rare congenital cardiac abnormality. An 18-year-old boy presented with features of right heart volume overload. Clinical examination was suggestive of hyperdynamic circulation with continuous murmur in precordium. 2D echocardiography showed dilated right coronary artery, and 3D echocardiography added information in tracing the track of the fistula which was consistent with the diagnosis of right coronary cameral fistula draining into the right ventricle. Coronary angiograms revealed an unusually dilated right coronary artery giving the appearance of an "elephant trunk" and with a fistulous tract into the right ventricle...
October 2016: Echocardiography
https://www.readbyqxmd.com/read/27770127/late-presentation-of-alcapa-syndrome-in-an-elderly-asian-lady
#15
K L Yew, Z Kang, A Anum
Coronary artery anomalies are often discovered incidentally during cardiac catheterization or computed tomography coronary angiography and may involve the affected coronary artery origin and its course. Coronary artery anomalies are associated with congenital heart disease. The affected coronary arteries may have an unusual high take off origin, origin from contralateral or non-coronary sinus, origin from the pulmonary artery, single coronary system or coronary artery fistula.
August 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27768631/coronary-pulmonary-artery-fistulas-a-systematic-review
#16
Daniel Verdini, Daniel Vargas, Anderson Kuo, Brian Ghoshhajra, Phillip Kim, Horacio Murillo, Jacobo Kirsch, Michael Lane, Carlos Restrepo
PURPOSE: Coronary-pulmonary arterial fistulas (CPAFs) are rare coronary artery anomalies that have been described only in limited case reports. This study aims to evaluate the clinical presentation and imaging findings of CPAFs collected from 6 participating medical centers along with CPAFs reported in the literature, to discern any general trends present in CPAFs. MATERIALS AND METHODS: A total of 25 cases of CPAF diagnosed by coronary computed tomography angiography were collected across 6 participating institutions...
November 2016: Journal of Thoracic Imaging
https://www.readbyqxmd.com/read/27762117/bilateral-coronary-artery-fistula
#17
Abraham Speedie, Cinosh Mathew, Rashmi Kerr, Rajneesh Calton
Coronary artery anomalies include anomalies of origin, termination, structure or course. Coronary artery fistulae (CAF) are classified as abnormalities of termination and are considered a major congenital anomaly. A coronary artery fistula involves a sizable communication between a coronary artery, bypassing the myocardial capillary bed and entering either a chamber of the heart (coronary-cameral fistula) or a great vessel. Bilateral coronary artery fistula, are a rare variant. We describe a bilateral CAF with angina and significant coronary artery disease requiring percutaneous coronary intervention...
August 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27760415/multimodality-evaluation-of-percutaneous-closure-of-coronary-fistula-using-amplatzer-vascular-plug-iv
#18
Damiano Regazzoli, Manuela Giglio, Francesca Besana, Pier Pasquale Leone, Akihito Tanaka, Marco Bruno Ancona, Antonio Mangieri, Matteo Montorfano, Francesco Giannini, Giuseppe De Angelis, Antonio Colombo, Azeem Latib
Congenital coronary-pulmonary fistulas are uncommon coronary anomalies. We present a case of a 63-year-old woman with a tortuous fistula between the proximal left anterior descending and main pulmonary artery which was effectively closed using an AMPLATZER Vascular Plug IV.
October 2, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27751341/incidental-left-anterior-descending-coronary-artery-to-pulmonary-artery-fistula-in-myxomatous-mitral-valve-prolapse
#19
Pankaj Aggarwal, Anil Bhan
Uniqueness of this case report is that though coronary cameral fistulas are itself rare, we closed fistula effectively in a different way. Since surgery was only good option available as patient had concomitant valvular disease, we closed distal end of fistula in PA and then took deep bites of suture in fistulous track itself. This approach closed fistula effectively and we had no need to dissect and ligate its origin from LAD which is more arduous and dangerous task.
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27741366/the-diverse-outcome-of-early-prenatal-diagnosis-of-pulmonary-stenosis
#20
Moshe Bronshtein, Zeev Blumenfeld, Asaad Choury, Ayala Gover
OBJECTIVES: To assess the natural history and outcome of fetal pulmonary stenosis [PS] detected at 14 to 16 weeks gestation. METHODS: This is a retrospective study, in the years 2004-2015, with serial follow up during pregnancy. Patients referred for complete early fetal ultrasound including all fetal systems and a fetal echocardiogram. Ninety seven percent of the women were low risk, and 3% had risk factors such as maternal type 1 diabetes mellitus, exposure to teratogenic drugs or anomalies in previous pregnancies or in other family members...
October 14, 2016: Ultrasound in Obstetrics & Gynecology
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