Coronary artery fistula: a review

Loukas, Marios; Germain, Ashley St.; Gabriel, Abigail; John, Alana; Tubbs, R. Shane; Spicer, Diane E.

doi:10.1016/j.carpath.2014.01.010

Cited by 97 publications

(126 citation statements)

References 78 publications

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“…It will also help in the early detection and treatment of CAFs that can subsequently cause additional and frequently irreversible chronic conditions including cardiac ischemia and chronic heart failure, and it might just be that AF is the earliest sign of impending chronic heart disease in these cases. From several small studies reporting the incidence of CAFs, it is known that the RCA is the most commonly noted site of origin [2] and the SVC and the right atrium are the most common sites of drainage, possibly making the clinical scenario presented in the above case a common occurrence among cases of CAFs.…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic Atrial Fibrillation and Coronary Arteriovenous Fistulae: Is There a Link?

Jamali

Raza²,

Waqar³

2016

Cardiology

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Despite being one of the most prevalent cardiac arrhythmias, the cause of atrial fibrillation (AF) in a vast majority of patients remains unknown. There is growing evidence of associated AF in patients diagnosed with coronary arteriovenous fistula. In this discussion, we have included an example of a patient who presented with new-onset AF and was subsequently diagnosed with an anomalous fistula between the right coronary artery and the superior vena cava. Definitive treatment of the fistula resulted in permanent resolution of the AF. Based on this case and a similar case reported in the literature, it is proposed that further research will unmask this possibly underdiagnosed and very treatable cause of AF.

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Section: Discussionmentioning

confidence: 99%

“…In the majority of cases, coronary arteriovenous fistulae (CAFs) are congenital and, less commonly, they are seen as an acquired condition of traumatic or iatrogenic origin following invasive cardiac procedures [2]. The exact incidence of CAFs is unknown.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Atrial Fibrillation and Coronary Arteriovenous Fistulae: Is There a Link?

Jamali

Raza²,

Waqar³

2016

Cardiology

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“…CAF are classified as abnormalities of termination and considered a major congenital anomaly (0.2-0.4% of congenital cardiac anomalies) [85]. From the clinical point of view, if most patients are asymptomatic, others may present dyspnea on exertion, palpitations and angina.…”

Section: Coronary Arteriovenous Fistulamentioning

confidence: 99%

A focus on the prognosis and management of ischemic heart disease in patients without evidence of obstructive coronary artery disease

Scalone

Niccoli

2015

Expert Review of Cardiovascular Therapy

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Ischemic heart disease without evidence of obstructive coronary artery disease is a common phenotype comprising different coronary syndromes with either stable or unstable clinical presentation. In this context, the clinical outcome and management appear extremely variable, due to different etiologies. Of note, coronary microvascular dysfunction is the pathogenetic mechanism linking different clinical scenarios in most of the cases. Hence, in this article, we aim to provide a systematic approach of reviewing the prognosis and management of angina or myocardial infarction without evidence of obstructive coronary artery disease. Moreover, we will propose a new scheme of classification by distinguishing between angina with normal coronary artery and myocardial infarction with normal coronary artery in order to facilitate clinicians to perform a proper management workflow.

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“…The patient may present with dyspnea, fatigue, cardiac arrhythmias, or chest pain; infective endocarditis also has been reported. Chest pain is secondary to myocardial ischemia due to the steal phenomenon that leads to a decreased myocardial blood flow distal to the fistula [1,2,4,5,6,7]. …”

Section: Figmentioning

confidence: 99%