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acquired coronary fistula

Rabail Qureshi, Leo Kao, Rakesh P Gupta
BACKGROUND: Coronary artery fistula, first described by Krause in 1865, is an abnormal communication between the coronary artery and one of the four chambers of the heart or one of the great vessels. The communications are often congenital but may also be acquired from trauma or invasive cardiovascular procedures. Half of the cases present with angina pectoris whereas the remaining half are incidentally detected on echocardiogram or angiogram performed for an unrelated reason. Takotsubo cardiomyopathy or stress-induced cardiomyopathy is characterized by transient left ventricular dysfunction with minimal elevation of cardiac biomarkers in the absence of underlying coronary artery disease...
March 30, 2018: Journal of Medical Case Reports
Uisoo Chae, Mi-Young Lee, Hyerim Kim, Hye-Sung Won, Ki-Soo Kim, Hyun-Woo Goo, Jae-Kon Ko, Jeong-Jun Park
Coronary arteriovenous fistula (CAVF) is a rare condition defined as an anomalous termination of the coronary arteries. The etiology of CAVF is either congenital or acquired, and iatrogenic CAVF is most commonly caused by cardiovascular surgery or percutaneous intervention. Most of the prenatally diagnosed CAVFs were related to complex heart disease, and only few cases of an isolated CAVF have been reported to date. We successfully diagnosed an isolated CAVF by fetal echocardiography at 25.3 weeks of gestation...
January 2018: Obstetrics & Gynecology Science
A Abu Haweleh, Luna Baangood, J V DeGiovanni
Coronary artery fistula (CAF) is an uncommon anomaly that is usually congenital but can be acquired. Although most patients are asymptomatic, some may present with congestive heart failure, infective endocarditis, myocardial ischemia or rupture. In the past, surgical ligation was the only option in the management of CAF, but since 1983, transcatheter closure of CAF has been increasing as an alternative to surgery. We report a 3-year-old boy, presented in Queen Alia Heart Institute, who underwent successful transcatheter closure of a large fistula communicating the distal part of the right coronary artery to the right ventricle...
January 2018: Journal of the Saudi Heart Association
Jerrold Spapen, Katrien Van Kolen, Arno Gigase, Paul Vermeersch
Coronary artery fistulae are rare cardiac anomalies with a prevalence of 0.2% of all the patients undergoing coronary angiography. The majority of them are congenital and generally origin from the right coronary artery. Occasionally acquired (mostly iatrogenic) fistulae can develop. Although frequently subclinical, symptoms of angina and congestive heart failure may occur. We present an unusual well-illustrated case of a strongly dilated circumflex coronary artery with formation of two giant aneurysms and fistulous communication towards the right atrium...
July 26, 2017: Acta Cardiologica
Ho-Chang Kuo
A form of systemic vasculitis that affects mostly small and medium-sized vessels, Kawasaki disease (KD) is most commonly found in children under the age of 5 years old. Though its etiology is unknown, KD has been the most frequent acquired heart disease in developing countries. Its incidence has increased over recent decades in many centuries, including Japan, Korea, and China. The most severe complications of KD are coronary artery lesions (CAL), including dilation, fistula, aneurysm, arterial remodeling, stenosis, and occlusion...
June 2017: Biomedical Journal
Mari Nieves Velasco Forte, Nick Byrne, Israel Valverde Perez, Aaron Bell, Gorka Gómez-Ciriza, Thomas Krasemann, Horst Sievert, John Simpson, Kuberan Pushparajah, Reza Razavi, Shakeel Qureshi, Tarique Hussain
AIMS: Coronary artery fistulae represent one of the most challenging anatomical defects to define accurately. We aimed to investigate the additional benefit conferred by volume rendering of tomographic images and 3D printing for diagnosis and interventional planning. METHODS AND RESULTS: Four cases of coronary fistulae were considered for transcatheter closure. Multidetector computed tomography (three cases) or cardiac magnetic resonance (one case) images were acquired and segmented using Mimics software...
October 13, 2017: EuroIntervention
Rafik BenAbda, Anne Gunn, Eric Roberge, Ting-Wei Yang
Coronary artery fistula (CAF) is an abnormality in which the coronary artery has an anomalous connection with a venous structure such as the coronary sinus or atrium. CAF is usually congenital, but may be acquired. The prevalence in the general population is low with many asymptomatic and discovered incidentally. When symptomatic, CAF may present with dyspnea, decreasing functional capacity, and/or arrhythmia. We report a case of a young otherwise healthy active duty male with progressive symptoms of dizziness and exertional fatigue with paroxysmal atrial fibrillation...
June 2017: Radiology Case Reports
Ata Firuzi, Mohammad Javad Alemzadeh-Ansari, Hamid Reza Pouraliakbar
Acquired causes of coronary fistulas are rare disorders and may develop following coronary atherosclerosis, infection, or trauma (iatrogenic). Iatrogenic coronary fistulas may be acquired secondary to surgical or nonsurgical interventions. We describe a case of an iatrogenic coronary artery-left ventricle fistula following mitral valve replacement surgery, presented with ventricular arrhythmia and heart failure. In a unique technique, we implanted three coils with the aid of a Scepter C balloon with inflation at the ostial portion of the left circumflex artery...
April 2017: Journal of the Saudi Heart Association
Abdul Mannan Khan Minhas, Ehtesham Ul Haq, Ahmed Arslan Yousuf Awan, Arshad Ameer Khan, Ghazanfar Qureshi, Pragathi Balakrishna
Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these fistulas are congenital in nature but can be acquired secondary to trauma or invasive cardiac procedures. These fistulas most commonly originate in the right coronary artery and terminate into the right ventricle and least frequently drain into the left ventricle. Depending upon their size and location, coronary-cameral fistulas can lead to congestive heart failure, myocardial infarction, and bacterial endocarditis...
2017: Case Reports in Cardiology
Mohsen Mirmohammadsadeghi, Fereshteh Salimi-Jazi, Majid Rabbani
BACKGROUND: Coronary arteriovenous fistula is a rare congenital or acquired abnormal connection between a coronary artery and any of the great vessels or any of the heart chambers. Most of them are diagnosed during routine coronary angiography. CASE REPORT: This case report illustrates a successful surgical ligating of multiple right coronary artery and circumflex artery fistulas to coronary sinus. CONCLUSION: According to our experience and literature review, it can be concluded that to prevent potential complications in various cases of coronary arteriovenous fistula, early surgical management, just after their condition has been diagnosed, is the best choice...
July 2016: ARYA Atherosclerosis
Salah A M Said, Massimo A Mariani
AIM: To delineate the features and current therapeutic option of congenital and acquired aortocameral fistulas (ACF) secondary to iatrogenic or infectious disorders. METHODS: From a PubMed search using the term "aortocameral fistula", 30 suitable papers for the current review were retrieved. Reviews, case series and case reports published in English were considered. Abstracts and reports from scientific meetings were not included. A total of 38 reviewed subjects were collected and analyzed...
August 26, 2016: World Journal of Cardiology
A Dehaene, A Jacquier, C Falque, G Gorincour, J Y Gaubert
Acquired coronary diseases include aneurysms, fistulae, dissections, and stenosis. Aneurysms may occur secondarily to Kawasaki disease, a childhood vasculitis, the prognosis of which depends on the coronary involvement, or they may be degenerative, infectious, inflammatory, or traumatic in origin. Fistulae develop between the coronary arterial system and a pulmonary or bronchial artery, or cardiac cavity. Dissections may occur spontaneously or may be post-traumatic. These coronary abnormalities may be found incidentally or may present as complications, infarction or rupture...
May 2016: Diagnostic and Interventional Imaging
Yu-Pin Chang, Si-Wa Chan, Jyh-Wen Chai, Jeon-Ho Chen, Yun-Ching Fu, Jian-Ling Chen, Yen-Ting Lin, Ming-Chih Chen, Clayton Chi-Chang Chen
In this study, we aimed to evaluate whether patients with left to right shunt coronary artery fistula (LRSCAF) are predisposed to developing pulmonary hypertension and right ventricular dysfunction compared with healthy individuals. The value of cardiac CT findings in determining the necessity of intervention for these patients was investigated. We retrospectively studied 19 patients with LRSCAF and 19 healthy patients. Several parameters were observed on cardiac CT by two radiologists, including pulmonary trunk diameter (PA diameter), right ventricular diameter (RVD), left ventricular diameter (LVD), RVD/LVD ratio, septal bowing and CT score of right ventricular dysfunction (CSRVD)...
June 2016: International Journal of Cardiovascular Imaging
Davide Marini, Gaetana Ferraro, Gabriella Agnoletti
We report two cases in which congenital and acquired fistulae (CAFs) have been successfully closed by using the Amplatzer Ductal Occluder (ADO) II AS in children. Because of the flexibility, small profile and short length of ADO II AS, this device proved to be an excellent option in case of tortuous and short CAFs with coronary branches next to the fistulous orifice. © 2015 Wiley Periodicals, Inc.
June 2016: Catheterization and Cardiovascular Interventions
Nikolaos E Androulakis, Nikolaos Tzenakis, Eleni Nioti, Paraskevi Spatharaki, Rodanthi Vyzoukaki, Anastasia Papadopoulou, Maria Kokonozaki, Michael G Alexandrakis
BACKGROUND/AIMS: Factor V Leiden heterozygosity occurs in 3-8% of the general European and US populations. Activated protein C resistance (APC-R)--a non-molecular laboratory test--can efficiently demonstrate the presence of this mutation and can be performed on most coagulation analyzers. On the other hand, fistula or graft thrombosis is a common and costly complication in hemodialysis patients. Our aim was to establish the value of APC-R determination in hemodialysis patients by assessing the risk of access thrombosis in patients with increased APC-R...
2015: Nephron
Madassery Sujatha, Puthuvassery Raman Suneel, Radhakrishnan K Bineesh
No abstract text is available yet for this article.
April 2016: Journal of Cardiothoracic and Vascular Anesthesia
Hassan Zamani, Mahmoud Meragi, Mohamad Yousef Arabi Moghadam, Behzad Alizadeh, Kazem Babazadeh, Farzad Mokhtari-Esbuie
BACKGROUND: Coronary arteriovenous fistulas (CAVFs) are direct connections from one or more coronary arteries to cardiac chambers or a large vessel. They are mostly of congenital origin. The aim of this study was to describe clinical presentation and also delineate the course and management of CAVF. METHODS: Clinical data, chest x-rays, echocardiographic and angiographic evaluation of 40 patients with congenital CAVF during 1990 to 2008 were reviewed retrospectively...
2015: Caspian Journal of Internal Medicine
Mao-Hung Lo, I-Chun Lin, Kai-Sheng Hsieh, Chien-Fu Huang, Shao-Ju Chien, Hsuan-Chang Kuo, Chi-Di Liang, Ying-Jui Lin
BACKGROUND/PURPOSE: To investigate mid- to long-term outcomes in children with coronary artery fistula (CAF). METHODS: We retrospectively reviewed the medical records of patients seen between September 1996 and August 2011. We enrolled those diagnosed with CAF via echocardiography (Philips SONOS 7500 system and Philips IE33) or angiography. The mean follow time was 42.58 ± 3.4 months (range, 1-166 months). For comparative purposes, participants were grouped as acquired versus congenital, and symptomatic versus asymptomatic...
July 2016: Journal of the Formosan Medical Association, Taiwan Yi Zhi
S A M Said, A G Hensens
No abstract text is available yet for this article.
November 2006: Netherlands Heart Journal
Demet Menekse Gerede, Aynur Acibuca, Caglar Uzun, Huseyin Goksuluk, Aydan Ongun, Mustafa Kilickap, Cetin Erol
Coronary artery fistulas (CAF) are a rare cardiac anomaly that can be either congenital or acquired. CAFs have clinical significance because of complications such as dyspnea on exertion, congestive heart failure, and cardiac tamponade. The literature also contains case reports of CAF presenting as bacterial endocarditis. We describe a 31-year-old man who presented with native valve infective endocarditis related to an unusual form of a CAF between the circumflex coronary artery and left ventricle. He also had giant coronary arteries, which were imaged with computed tomography angiography and transesophageal echocardiography...
April 2015: Echocardiography
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