Angiographic and Clinical Manifestations of Coronary Fistulas in Chinese People  15-Year Experience

Chiu, Chiung Zuan; Shyu, Kou Gi; Cheng, Jian; Lin, Sheng-Chou; Lee, Shih Huang; Hung, Huei Fong; Liou, Jer Young

doi:10.1253/circj.72.1242

Cited by 33 publications

(35 citation statements)

References 26 publications

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“…Rarely CAF is a consequence of cardiac surgery; in most case CAF is congenital. It is present in 0.002% of the general population and accounts for 0.4% of all congenital heart diseases .…”

Section: Discussionmentioning

confidence: 99%

Off‐label use of the amplatzer ductal occluder II additional size for percutaneous closure of congenital and acquired coronary fistulae

Marini

Ferraro

Agnoletti

2015

Cathet Cardio Intervent

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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.

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“…Rarely CAF is a consequence of cardiac surgery; in most case CAF is congenital. It is present in 0.002% of the general population and accounts for 0.4% of all congenital heart diseases .…”

Section: Discussionmentioning

confidence: 99%

Off‐label use of the amplatzer ductal occluder II additional size for percutaneous closure of congenital and acquired coronary fistulae

Marini

Ferraro

Agnoletti

2015

Cathet Cardio Intervent

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“…3 More than 60% of patients with extralobar sequestration have coexistent congenital anomalies. [10][11][12][13] Intralobar sequestrations comprise 75% of all sequestrations, and are typically diagnosed in adulthood. In contrast to extralobar sequestration, they are usually isolated anomalies.…”

Section: Resultsmentioning

confidence: 99%

Early and Late Outcomes of Coil Embolization of Pulmonary Sequestration in Children

Kuan

Huang

Lin

et al. 2009

Circ J

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Background: Pulmonary sequestration (PS) is characterized by non-functioning lung tissue fed from 1 or several aberrant systemic arteries. The classical therapeutic approach is surgical resection. Several case reports have shown that coil embolization is feasible, but this technique has not been evaluated in a larger series of consecutively treated patients. The purpose of our study was to assess the early and long-term outcomes of coil embolization of PS in children and to determine the risk factors of early and late major adverse cardiovascular and pulmonary events. Methods and Results: Between March 1999 and December 2004, 6 patients (2 boys, 4 girls, mean age 4.7±3.8 years) with PS were treated by coil embolization of the feeding systemic artery. Four patients were considered to have been cured and 2 patients required a second coil embolization 6 months later because of residual systemic flow seen on computed tomography. Transient ischemic change of the lower limb occurred in the youngest patient. None of the other patients had any late complications or recurrent pneumonia. Conclusions: Coil embolization of PS is safe and feasible, with a good late outcome. (Circ J 2009; 73: 938 -942)

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“…The commonest coronary artery anomalies are the coronary artery fistulas, found in 0.17-0.67% of coronary arteriograms [25,35]. On rare occasions, they have been reported to cause SD [12], however, we are not aware that SD on the athletic field from coronary fistula has been reported. The commonest emptying site is into the main pulmonary artery.…”

Section: Other Coronary Anomalies Occasionally Associated With Suddenmentioning

confidence: 99%

“…A minority of patients with the anomalous left coronary artery arising from the pulmonary artery (ALCAPA) lives to adulthood before being discovered [9]. Coronary artery fistulas have also been reported to cause SD [12]. Coronary artery fistulas have also been reported to cause SD [12].…”

Section: Introductionmentioning

confidence: 99%

Congenital anomalies of coronary arteries

Cheitlin

MacGregor

2009

Herz

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After hypertrophic cardiomyopathy, coronary artery anomalies of origin from the wrong sinus of Valsalva are the second most common cause of sudden death on the athletic field in the USA. Although the right coronary artery arising from the left coronary sinus (ARCA) is four times as common as the left coronary artery arising from the anterior sinus (ALCA), it is the latter that is by far the more common cause of sudden death with or shortly after vigorous physical activity. Of the four types of ALCA, the interarterial type, where the left coronary artery passes anteriorly between the aorta and the right ventricular outflow tract, is the only type that places the patient at risk of sudden death. Another feature of this syndrome is the fact that sudden death occurs associated with or shortly after vigorous exercise and is very unusual after the patient is > 35 years of age. The mechanism by which there is sudden occlusion of the interarterial coronary artery is at present unknown, although there are a number of hypotheses involving the oblique passage of the vessel as it leaves the aorta. Sudden death is probably rare considering the number of people who have these anomalies. Symptoms premonitory to a fatal event such as exertional syncope, chest pain, or palpitations are probably common in patients at risk, and surgical correction is indicated in symptomatic patients at any age. In older asymptomatic patients, surgery is not recommended, since the incidence of sudden death in this age group is extremely small. In asymptomatic young patients, a stress test, preferably with radioisotope myocardial perfusion imaging or stress echocardiogram, should be done and surgical correction performed in those with ischemia provoked in the appropriate myocardial region. Since there is evidence that in patients who have survived a potentially fatal event, it is rare to be able to provoke ischemia with equal or greater exercise than had precipitated the malignant arrhythmia, the decision to surgically correct an asymptomatic young patient, serendipitously found to have ALCA, who has a negative exercise test, is debatable. Any decision for surgery in such patients should be made only after a full discussion of the risks pro and con surgery with the patient and the patient's family.

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Angiographic and Clinical Manifestations of Coronary Fistulas in Chinese People 15-Year Experience

Cited by 33 publications

References 26 publications

Off‐label use of the amplatzer ductal occluder II additional size for percutaneous closure of congenital and acquired coronary fistulae

Off‐label use of the amplatzer ductal occluder II additional size for percutaneous closure of congenital and acquired coronary fistulae

Early and Late Outcomes of Coil Embolization of Pulmonary Sequestration in Children

Congenital anomalies of coronary arteries

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