Our experience in diagnostics and treatment of coronary artery fistulae
Abstract
Coronary artery fistulae (CAF) – congenital coronary pathology with abnormal connection between the coronary arteries and heart chambers or vessels (superior vena cava, pulmonary artery or pulmonary veins). In rare cases can be acquired pathology. According to statistics CAF is present in 0.002% of world population and diagnosed in 0,2–0,6% of patients during routine cardiac catheterization. This article contains data analysis of 41 cases of endovascular interventions in patients with coronary artery fistulae.
Purpose. To evaluate results of endovascular interventions in patients with coronary artery fistulae.
Materials and methods. Patients with echocardiography evidence of coronary-pulmonary fistulae underwent endovascular catheterization with selective coronary angiography for verification of anatomical type and hemodynamic significance. Depending on received data indications for surgical or endovascular treatment has been determined. No thromboembolic complications, signs of ischemia and occluding device migration, no mortality after endovascular CAF closure.
Conclusions. Endovascular catheterization of cardiac chambers with selective coronarography is the method of choice in CAF diagnosis.
References
2. Dodge-Khatami A., Mavroudis C., Baker C. L. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries // Ann Thorac Surg. – 2000. – Vol. 69. – P. 270–97.
3. Percutaneous closure of congenital coronary artery fistulae: results and angiographic follow-up / Jama A., Barsoum M., Bjarnason H. et al. // JACC Cardiovasc Interv. – 2011. – Vol. 4 (7). – P. 814–21.
4. Remodeling and thrombosis following closure of coronary artery fistula with review of management: large distal coronary artery fistula – to close or not to close? / Gowda S. T., Forbes T. J., Singh H. et al. // Catheter Cardiovasc Interv. – 2013. – Vol. 82. – P. 132–142. doi: https://doi.org/10.1002/ccd.24699.
5. Late outcome of repair of congenital coronary artery fistulas – a word of caution / Said SM, Burkhart HM, Schaff HV et al. // J Thorac Cardiovasc Surg. – 2013. – Vol. 145. – P. 455–460. doi: https://doi.org/10.1016/j.jtcvs.2012.11.028.
6. Coronary fistula between the left anterior descending coronary artery and the pulmonary artery: Two case reports / Mohamed F. Ibrahim, Sameh Sayed, Abdelfatah Elasfar et al. // J Saudi Heart Assoc. – 2012. – Vol. 24. – P. 253–256.
