Comparison of Pre- and Postnatally Diagnosed Coronary Artery Fistulae: Echocardiographic Features and Clinical Outcomes

Pisesky, Andrea; Nield, Lynne E.; Rosenthal, Joanna; Jaeggi, Edgar; Hornberger, Lisa K.

doi:10.1016/j.echo.2022.07.015

Cited by 4 publications

(3 citation statements)

References 41 publications

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“…In clinical practice, transthoracic echocardiography is considered the preferred imaging technique to evaluate cardiac structure and function. An abnormal jet in the recipient chamber or an aberrant vessel with a continuous or diastolic flow pattern is indicative of coronary fistula [50]. However, echocardiography has a lower spatial resolution, especially in patients with poor sonic windows.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Yan,

He,

Luo

et al. 2024

Coronary Artery Disease

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Background Coronary artery fistula (CAF) is a rare coronary anomaly. This study aimed to investigate the prevalence, clinical features, and imaging characteristics of CAF among patients undergoing coronary angiography (CAG). Method This was a retrospective study including 20 259 consecutive patients (12 458 were male) who underwent CAG at our institution from September 2018 to March 2023. Electronic angiography records were reviewed, and a total of 86 (0.42%) CAF patients were enrolled and analyzed. Result Of the 86 CAF patients, 42 (49%) were male. Thus, the prevalence of CAF for males and females was 0.34% and 0.56%, respectively. Arrhythmia, left ventricular (LV) hypertrophy, LV dilation, and LV systolic dysfunction were observed in 38, 25, 10 and 5 cases, respectively. Among the 86 CAF patients, a total of 117 CAFs were detected. 61 (71%) patients had a single CAF, and the remaining 25 (29%) patients had multiple CAFs. Of the 117 CAFs, the most common origins and terminations were the left anterior descending artery (n = 50) and the pulmonary artery (n = 73), respectively. The CAF diameters were greatly varied, ranging from unmeasurable to 7.8 mm, and 22 (18%) CAFs were larger than 3 mm. Conclusion In the present study, the prevalence of CAF was 0.42% with a female predilection. Arrhythmia, LV remodeling and dysfunction were common. Seventy-one percent of patients had a single CAF. The left anterior descending artery and the pulmonary artery were the most common origin and termination of CAFs, respectively. Most CAFs were small, and 18% of CAFs were larger than 3 mm.

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Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Yan,

He,

Luo

et al. 2024

Coronary Artery Disease

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“…215 However, most patients with a prenatal or postnatal diagnosis of congenital fistulae have a good prognosis and do not require intervention. 216 Echocardiography, cardiac CTA, CMRI, and catheterization have been used to comprehensively evaluate coronary fistulae. 214 Spontaneous closure of the fistulae is rare.…”

Section: Coronary Fistulamentioning

confidence: 99%

“…Although most individuals are asymptomatic and discovered incidentally via cardiac imaging, larger fistulas can present with symptoms due to marked shunting and progressive dilatation of the fistula and cardiac chamber, including angina, AMI, and heart failure 215 . However, most patients with a prenatal or postnatal diagnosis of congenital fistulae have a good prognosis and do not require intervention 216 …”

Section: Coronary Anomaliesmentioning

confidence: 99%

Congenital heart disease: types, pathophysiology, diagnosis, and treatment options

Meng,

Song,

Zhang

et al. 2024

MedComm

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Congenital heart disease (CHD) is a structural abnormality of the heart and/or great vessels and patients with CHD are at an increased risks of various morbidities throughout their lives and reduced long‐term survival. Eventually, CHD may result in various complications including heart failure, arrhythmias, stroke, pneumonia, and sudden death. Unfortunately, the exact etiology and pathophysiology of some CHD remain unclear. Although the quality of life and prognosis of patients with CHD have significantly improved following technological advancement, the influence of CHD is lifelong, especially in patients with complicated CHD. Thus, the management of CHD remains a challenge due to its high prevalence. Finally, there are some disagreements on CHD among international guidelines. In this review, we provide an update of the pathophysiology, diagnosis, and treatment in most common type of CHD, including patent foramen ovale, atrial septal defect, ventricular septal defect, atrioventricular septal defect, patent ductus arteriosus, coarctation of the aorta, transposition of the great arteries, congenitally corrected transposition of the great arteries, coronary anomalies, left and right ventricular outflow tract obstruction, tetralogy of Fallot and Ebstein anomaly. In particular, we focus on what is known and what is unknown in these areas, aiming to improve the current understanding of various types of CHD.

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Diagnosis and Management of Congenital Coronary Artery Fistulas in Infants and Children

Wu,

Fares,

Zellers

et al. 2023

Curr Cardiol Rep

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Comparison of Pre- and Postnatally Diagnosed Coronary Artery Fistulae: Echocardiographic Features and Clinical Outcomes

Cited by 4 publications

References 41 publications

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Prevalence and characteristics of coronary artery fistulas among 20 259 patients undergoing invasive coronary angiography

Congenital heart disease: types, pathophysiology, diagnosis, and treatment options

Diagnosis and Management of Congenital Coronary Artery Fistulas in Infants and Children

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