Swipe om te navigeren naar een ander artikel
Coronary artery fistulas (CAFs) are infrequent anomalies, coincidentally detected during coronary angiography (CAG).
To elucidate the currently used diagnostic imaging modalities and applied therapeutic approaches.
Five Dutch patients were found to have CAFs. A total of 170 reviewed subjects were subdivided into two comparable groups of 85 each, treated with either percutaneous ‘therapeutic’ embolisation (PTE group) or surgical ligation (SL group).
In our series, the fistulas were visualised with several diagnostic imaging tests using echocardiography, multidetector computed tomography, and CAG. Four fistulas were unilateral and one was bilateral; five originated from the left and one originated from the right coronary artery. Among the reviewed subjects, high success rates were found in both treatment groups (SL: 97% and PTE: 93%). Associated congenital or acquired cardiovascular disorders were frequently present in the SL group (23%). Bilateral fistulas were present in 11% of the SL group versus 1% of the PTE group. The fistula was ligated surgically in one and abolished percutaneously in another. Medical treatment including metoprolol was conducted in two, and watchful waiting follow-up was performed in one.
Several diagnostic imaging techniques are available for assessment of the anatomical and functional characteristics of CAFs.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Kassaian SE, Mahmoodian M, Salarifar M, et al. Stent-graft exclusion of multiple symptomatic coronary artery fistulae. Tex Heart Inst J. 2007;34(2):199–202. PubMed
Shuiyun W, Qingyu W, Shengshou H, et al. Surgical treatment of 52 patients with congeni coronary artery fistulas. Chin Med J. 2001;114:752–5.
Cherif A, Farhati A, Fajraoui M, et al. Coronary-pulmonary arterial fistula in the adult: report of 6 cases and review of the literature. Tunis Méd. 2003;81(8):595–9. PubMed
Müller D, Wimmer-Greinecker G, Fichtelscherer S, et al. Symptomatic coronary artery-pulmonary artery fistulae. Interact Cardiovasc Thorac Surg. 2004;20:192–3. CrossRef
de la Llera LS Diaz, Fournier Andray JA, Gomez MS, et al. Percutaneous occlusion with coils of coronary artery fistulas in adults. Rev Esp Cardiol. 2005;58(1):93–6. CrossRef
Francoual M, Diebler C, Bouchet PF, et al. Percutaneous occlusion by a detachable balloon of a fistula between the left coronary and the pulmonary artery. Arch Mal Coeur Vaiss. 1990;83(7):1003–5. PubMed
Alekyan BG, Podzolkov VP, Cardenas CE. Transcatheter coil embolization of coronary artery fistula. Asian Cardiovasc Thorac Ann. 2002;10(1):47–52. PubMed
Trehan V, Yusuf J, Mukhopadhyay S, et al. Transcatheter closure of coronary artery fistulas. Indian Heart J. 2004;56(2):132–9. PubMed
Esmaeilzadeh M, Khaledifar A, Usefi A, et al. Right coronary artery-to-pulmonary artery fistula, the role of echocardiography. Iran Cardiovasc Res J. 2007;1:50–2.
Ryu JC, Choe YH, Park PW, et al. Cardiac tamponade due to a rupture of the coronary arteriovenous aneurysm—a case report. J Korean Med Sci. 1997;12(2):143–5. PubMed
Alkhulaifi AM, Horner SM, Pugsley WB, et al. Coronary artery fistulas presenting with bacterial endocarditis. Ann Thorac Surg. 1995;60(1):202–4. PubMed
Sun S, Li JY, Hu PY, et al. Starfish-assisted off-pump obliteration of massive coronary arteriovenous fistulae. Tex Heart Inst J. 2005;32(4):595–7. PubMed
Midell AI, Bermudez GA, Replogle R. Surgical closure of left coronary artery-left ventricular fistula: the second case reported in the literature and a review of the five previously reported cases of coronary artery fistula terminating in the left ventricle. J Thorac Cardiovasc Surg. 1977;74(2):199–203. PubMed
Achenbach S, Ulzheimer S, Baum U, et al. Noninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation. 2000;102(23):2823–8. PubMed
Lehmkuhl L, Luecke C, Koesser A, et al. Right coronary artery fistula to the coronary sinus: Morphological and functional assessment by multidetector computed tomography and magnetic resonance flow measurement. Eur J Radiol Extra. 2009;70:e5–9. CrossRef
Duerinckx AJ, Perloff JK, Currier JW. Arteriovenous fistulas of the circumflex and right coronary arteries with drainage into an aneurysmal coronary sinus. Circulation. 1999;99(21):2827–8. PubMed
Millaire A, Goullard L, de Groote P, et al. Congenital high flow coronary cameral fistula in an 81-year-old woman: management problems. Can J Cardiol. 1992;8(9):917–20. PubMed
Sercelik A, Mavi A, Ayalp R, et al. Congenital coronary artery fistulas in Turkish patients undergoing diagnostic cardiac angiography. Int J Clin Pract. 2003;57(4):280–3. PubMed
- Diagnostic and therapeutic approach of congenital solitary coronary artery fistulas in adults: Dutch case series and review of literature
S. A. M. Said
R. L. G. Nijhuis
J. W. op den Akker
G. P. Kimman
K. G. Van Houwelingen
A. B. Huisman
R. H. J. A. Slart
D. M. Nicastia
E. M. Koomen
A. C. Tans
N. Y. Y. Al-Windy
A. C. B. Pronk
- Bohn Stafleu van Loghum