Giant congenital aneurysm of the right coronary artery

Lim, Chin Hock; Tan, N.C.; Tan, Lenny; Seah, C. S.; Tan, Dixie

doi:10.1016/s0002-9149(77)80140-9

Cited by 25 publications

(5 citation statements)

References 10 publications

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“…The presence of left-right shunts can occasionally lead to the appearance of congestive heart failure, acute myocardial infarction, bacterial endocarditis, formation and rupture of aneurysm and sudden death [13,[16][17][18][19]. The incidence of these complications increases proportionally with the age of the patients [3,7,12].…”

Section: Commentsmentioning

confidence: 99%

Surgical treatment of isolated fistulae of coronary arteries

Porto

Dias

Crevelari

2003

Rev Bras Cir Cardiovasc

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Objective: To report the surgical results obtained with the surgical correction of fistulae of coronary arteries in the pulmonary artery branch.Method: From 1995 to 1999, three female patients with diagnoses of isolated fistulae of coronary arteries confirmed by cinecoronariography underwent surgery.Results: No other associated heart diseases were observed in the patients. The main symptom of all patients was angina pectoris. After closing the coronary fistulae the patients progressed with event-free post-operative periods and with total recovery from the angina.Conclusion: Surgical treatment should be considered for all patients diagnosed as having isolated fistulae, due to the low morbid-mortality rate in addition to the technical simplicity of closing and performing the ligature of fistulae. Conclusão: A correção cirúrgica deve ser proposta para os casos diagnosticados de fístulas isoladas de artérias coronárias para evitar complicações importantes, considerando-se a baixa morbi-mortalidade hospitalar e a facilidade técnica para o fechamento e ligadura das fístulas. Descriptors

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Section: Commentsmentioning

confidence: 99%

Surgical treatment of isolated fistulae of coronary arteries

Porto

Dias

Crevelari

2003

Rev Bras Cir Cardiovasc

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“…Symptoms such as dyspnea on exertion, fatigue, congestive heart failure, and angina are commonly seen in older age groups (more than 20 years of age) 2 . CAF may be complicated by infective endocarditis, 12 aneurysm formation, 13 and rarely rupture of the fistula 14, 15 . In some patients, myocardial ischemia can be objectively identified with a nuclear myocardial perfusion scan 16 .…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of an Accessory Coronary Artery to Pulmonary Artery Fistula:

Kamineni¹,

Butman²,

Rockow³

et al. 2004

J Interven Cardiology

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Coronary artery fistulae (CAF) are rare congenital anomalies. Surgical ligation is the standard treatment for symptomatic CAF, but is associated with higher morbidity. In a select group of patients, transcatheter coil embolization (TCE) is a reasonable alternative to standard surgical treatment. In this article, we present a unique (not previously reported) case of a tortuous accessory anomalous right coronary artery to pulmonary artery fistula with coronary steal phenomenon. TCE of highly tortuous fistulae can be technically difficult and are usually referred for surgery. In this case report we describe how utilization of adult coronary interventional wires and balloon catheters may help overcome some of the technical difficulties encountered with catheter-based closure of CAF.

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“…Isolated congenital CAFs are usually asymptomatic in children as only 10-20% of pediatric CAF patients may complain of symptoms such as chest pain, dyspnea, palpitations, or rarely symptoms of congestive heart failure (CHF) (1,(3)(4)(5). Complications that may develop include endocarditis, formation of an aneurysm, and rarely rupture (6)(7)(8)(9)(10). It is recommended that symptomatic children with CAF should undergo early repair; however, there is still no consensus about the indication and the timing of repair for asymptomatic CAFs (1,3).…”

Section: Introductionmentioning

confidence: 99%