Peratrial Device Closure of a Congenital Coronary Artery Fistula through a Right Parasternal Approach: Innovative Use of Available Technology

2016 ◽  
Vol 19 (1) ◽  
pp. 005
Author(s):  
Yanting Jia ◽  
Li Hongxin ◽  
Guo Wenbin ◽  
Haizhou Zhang ◽  
Chengwei Zou
Keyword(s):  
Coronary Artery ◽  
Surgical Techniques ◽  
Coronary Artery Fistula ◽  
Device Closure ◽  
Transcatheter Occlusion ◽  
Coronary Artery Fistulas ◽  
Congenital Coronary Artery Fistula ◽  
Right Parasternal Approach ◽  
Available Technology ◽  
The Right

Current treatments for congenital coronary artery fistulas (CAFs) include surgical obliteration and transcatheter occlusion. However, surgical techniques involve significant trauma. Transcatheter occlusion is performed under fluoroscopy and angiography, in which radiation injury is inevitable. We present a patient, with a CAF from the left coronary artery to the right atrium, who underwent peratrial device closure of the CAF with a right parasternal approach under transesophageal echocardiography guidance. Complete occlusion was achieved by a symmetric ventricular septal occluder. We suggest that peratrial device closure of a congenital coronary artery fistula through a right parasternal approach may be a safe and effective option.

Ligation of a Fistula between the Left Main Coronary Artery and Both the Pulmonary Artery and the Right Ventricle

2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Left Main Coronary Artery ◽  
Coronary Artery Fistula ◽  
Left Main ◽  
Symptomatic Disease ◽  
Coronary Artery Fistulas ◽  
The Right

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.

scholarly journals Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Omar Kahaly ◽  
Konstantinos Dean Boudoulas
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Coronary Artery Fistula ◽  
Coronary Arteriography ◽  
Great Vessel ◽  
Challenging Problem ◽  
Atypical Chest Pain ◽  
Coronary Artery Fistulas ◽  
Appropriate Therapy ◽  
The Right

A coronary artery fistula (CAF) is an abnormal communication between a coronary artery and a cardiac chamber or a great vessel. CAFs are rare based on coronary arteriography and when found they most often empty into the right ventricle and atrium and less often into the high pressure, low compliance left ventricle (LV). A patient who presented with atypical chest pain and was found to have multiple small CAFs originating from the ramus intermedius coronary artery and emptying into the LV is presented. This case highlights the challenges in providing an appropriate therapy for multiple small CAFs emptying into the LV.

Prenatal diagnosis of isolated coronary artery fistulas: progression and outcome in five cases

2015 ◽  
Vol 26 (5) ◽  
pp. 915-920 ◽  
Author(s):  
Gurleen K. Sharland ◽  
Laura Konta ◽  
Shakeel A. Qureshi
Keyword(s):  
Coronary Artery ◽  
Cardiac Failure ◽  
Transcatheter Closure ◽  
Coronary Artery Fistula ◽  
Congestive Cardiac Failure ◽  
Fetal Life ◽  
Circumflex Coronary Artery ◽  
Coronary Artery Fistulas ◽  
The Right

AbstractObjectivesThe aim of this study was to describe the clinical characteristics, progression, treatment, and outcomes in isolated coronary artery fistula cases diagnosed prenatally.MethodsWe carried out a retrospective review of babies diagnosed prenatally with coronary artery fistulas between January, 2000 and December, 2013; five fetuses were included. Echocardiographic features and measurements were noted during pregnancy and after birth. Treatment and outcome were noted.ResultsGestational age at initial diagnosis was between 19 and 22 weeks; four coronary artery fistulas originated from the right and one from the left circumflex coronary artery. Drainage was into the right atrium in four cases and into the left ventricle in one case. There was cardiomegaly in two cases at the initial scan. The size of the fistulas increased during pregnancy in all except one. All prenatal diagnoses were confirmed postnatally. Among all, two patients developed congestive cardiac failure soon after birth and required transcatheter closure of the coronary artery fistula, 5 and 17 days after birth, respectively; three patients remained asymptomatic, and all of them showed progressive dilation of the feeding artery and had closure of the fistula at 20 months, 4 years, and 7 years of age, respectively. During the follow-up period, which ranged 2–14 years, all the patients were alive and well.ConclusionsCoronary artery fistulas can be diagnosed accurately during fetal life. Some babies may develop congestive cardiac failure soon after birth requiring early treatment. Those treated conservatively should be kept under review as intervention may be required later.

scholarly journals Case Report: Isolate Congenital Coronary Artery Fistula With Giant Artery Aneurysm in a Neonate

2021 ◽  
Vol 8 ◽  
Author(s):  
Haoyong Yuan ◽  
Zhongshi Wu ◽  
Qin Wu ◽  
Ting Lu ◽  
Yilun Tang ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angioplasty ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula ◽  
Postoperative Recovery ◽  
Aortic Sinus ◽  
Giant Coronary Artery Aneurysm ◽  
Congenital Coronary Artery Fistula ◽  
The Right

A rare case of neonatal congenital coronary artery, right ventricle fistula with giant coronary artery aneurysm formation, was reported. Computed tomography angiography demonstrated the dilated and tortuous tunnel arising from the right aortic sinus and traversing the epicardial surface before opening into the anterolateral aspect of the RV. Successful surgical repair was performed with a patch closure of the fistula and coronary angioplasty. The postoperative recovery was uneventful. Our experience of this rare congenital heart disease demonstrated that early surgical repair of coronary artery fistula and coronary angioplasty in the neonate can be performed safely. Further study is needed to seek the basis on this.

scholarly journals A Case of Coronary Cameral Fistula: When and How to Intervene?

2021 ◽  
Author(s):  
Mehdi Peighambari ◽  
Marziyeh Pakbaz ◽  
Azin Alizadehasl ◽  
Saeid Hosseini ◽  
Hamidreza Pouraliakbar
Keyword(s):  
Coronary Artery ◽  
Unusual Case ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Aged Woman ◽  
Complex Anatomy ◽  
Coronary Artery Fistulas ◽  
Middle Aged Woman ◽  
The Right

Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up.

Successful closure for a case of congenital coronary artery fistula using a patent ductus arteriosus occluder

2010 ◽  
Vol 21 (1) ◽  
pp. 97-100 ◽  
Author(s):  
Gang Zhao ◽  
Heng Jin ◽  
Hongping Wu
Keyword(s):  
Coronary Artery ◽  
Patent Ductus Arteriosus ◽  
Guide Wire ◽  
Ductus Arteriosus ◽  
Cost Effective ◽  
Coronary Artery Fistula ◽  
Transcatheter Occlusion ◽  
Effective Option ◽  
Coronary Artery Fistulas ◽  
Patent Ductus

AbstractWe describe a case of transcatheter occlusion of a large and tortuose coronary artery fistula in an 8-year-old girl. During 2.5 years’ of follow-up, she had no complaints and developed normally. This method of reserving the guide wire in cardiac catheterisation is extremely useful. Through the application of a patent ductus arteriosus occluder, the transcatheter closure of coronary artery fistulas proves to be a safe, feasible, and cost-effective option to surgery.

scholarly journals Congenital coronary artery fistula to the right atrium assessed with Cardiac CT

Imaging ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 11-12
Author(s):  
Erica Maffei ◽  
Francesco Di Pede ◽  
Elisabetta Barbieri ◽  
Filippo Cademartiri
Keyword(s):  
Coronary Artery ◽  
Right Atrium ◽  
Cardiac Ct ◽  
Inferior Vena ◽  
Left Main Coronary Artery ◽  
Vena Cava ◽  
Coronary Artery Fistula ◽  
Left Main ◽  
Congenital Coronary Artery Fistula ◽  
The Right

AbstractA 50-year-old female with palpitations, dyspnoea and slightly dilated left ventricle at echocardiography was referred to Cardiac CT (CCT) for coronary artery assessment. CCT revealed a large fistula from the left main coronary artery to the right atrium, associated with agenesia of the inferior vena cava.

scholarly journals Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Angelo Acitelli ◽  
Sabrina Bencivenga ◽  
Maria B. Giannico ◽  
Chiara Lanzillo ◽  
Luciano Maresca ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Incidental Finding ◽  
Coronary Artery Fistula ◽  
Left Ventricular ◽  
Left Ventricular Cavity ◽  
Inferior Wall ◽  
Coronary Syndrome ◽  
Major Vessel ◽  
Coronary Artery Fistulas ◽  
The Right

Coronary artery fistulas are rare abnormal connections between a coronary artery and a cardiac chamber or a major vessel. Often, they are asymptomatic and the diagnosis is accidental. The case we present is the incidental finding of a fistula displayed with echocardiography during acute coronary syndrome (ACS). A 73-year-old man presented in the emergency room for non-ST-elevation ACS. Echocardiogram showed in a parasternal short axis view an abnormal diastolic flow inside the ventricular inferior wall. Angiography and CT confirmed the diagnosis of coronary fistula from the right coronary into the left ventricular cavity. A literature analysis with discussion about coronary fistulas classification and management was also performed.

Sign in / Sign up

Export Citation Format

Share Document