Surgical Treatment of Bilateral Aneurysmal Coronary to Pulmonary Artery Fistulas Associated With Severe Atherosclerosis

Saïd, Salah A.M.; Voogt, Willem G. de; Hamad, Mohamed Soliman; Schönberger, Jacques P.A.M.

doi:10.1016/j.athoracsur.2006.05.033

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…Symptoms are more likely to manifest in the elderly, and are largely attributable to the blood flow through the shunt and the structures involved (12)(13)(14)(15). CAFs may sometimes cause acute myocardial infarction, which may necessitate coronary artery bypass surgery (7,16). Our patient had no apparent symptoms because there was a minimal shunt from the distal coronary blood flow.…”

Section: Discussionmentioning

confidence: 80%

Coronary artery fistula and lung adenocarcinoma: a case report and literature review

et al. 2021

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Coronary artery fistula (CAF) is a rare condition, whilst lung cancer is one of the most common malignant tumors worldwide. We came cross an interesting case with both diseases. To the best of our knowledge, this is the first case report pertaining to a patient with a coexisting CAF and lung adenocarcinoma. The patient was a 67-year-old woman who was admitted to our hospital for evaluation of persistent cough. Through the examination she was diagnosed coronary artery fistula and lung adenocarcinoma. Both diseases were successfully treated in a single operation (artery ligation and pulmonary lobectomy). The post-operative period was uneventful. At 3-month follow-up, there were no signs of blood shunting or cancer recurrence. There is no standard guidelines to treat both diseases. We want to seek out a solution to the problem. In this patient, we successfully performed artery ligation and pulmonary lobectomy in a single operation without any complications. We believe the treatment of patients with CAFs should be individualized. But, there is still a lot of shortcomings in our research. First of all, we have no enough cases to support our approach. What's more, the long-term effects of the operation are not certain. Last but not least, we have no proof in genetics with both diseases.

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Section: Discussionmentioning

confidence: 80%

Coronary artery fistula and lung adenocarcinoma: a case report and literature review

et al. 2021

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“…Said et al [5] reported their surgical experience of a similar case with fistula a severe coronary artery atherosclerosis. General agreement for indication of surgery is in commonly accepted situations.…”

Section: Resultsmentioning

confidence: 97%

“…On the other hand, surgery can be performed depending on the features of the case, with or without cardiopulmonary bypass. Said et al advocate operating simple coronary artery fistulas without cardiopulmonary bypass [5]. Clearly, complicated cases with participations of cardiac chambers put forth a need for cardiopulmonary bypass.…”

Section: Resultsmentioning

confidence: 99%

Urgent coronary artery bypass graft operation of a patient with acute anterior myocardial infarction, congenital right coronary artery to main pulmonary artery fistula and left hilar hamartoma of the lung

et al. 2011

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Urgent coronary artery bypass graft operation of a patient with acute anterior myocardial infarction, congenital right coronary artery to main pulmonary artery fistula and left hilar hamartoma of the lung Summary. Background: Coronary artery fistulas are rare congenital or acquired coronary artery anomalies that can originate from any of the three major coronary arteries and drain into all the cardiac chambers and great vessels.Methods (case report): A 67-year-old male patient administered to the emergency department with a severe unstable angina pectoris. Patient underwent a three-vessel coronary artery bypass graft surgery, liga-clip occlusion of coronary artery to pulmonary artery fistula and a direct diagnostic punch biopsy from the left hilar mass lesion.Results: No complications were encountered postoperatively. The patient was discharged on postoperative day eleven with a referral to the thoracic surgery department for further treatment of his lung tumor.Conclusions: In this report we present successful combination of an urgent coronary artery bypass graft operation in acute anterior myocardial infarction status with concomitant pathologies of congenital right coronary artery to main pulmonary artery fistula and left hilar mass lesion of the lung.

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“…It has been reported that the coronary artery flow could be effect by aortic valved stents when TAVI was performed in animal experiments and clinical treatments, especially in the cases of aortic insufficiency [24,25]. Flecher et al have reported that implantation of a percutaneous valved stent in the orthotopic position with the native valve in place causes coronary ostial obstruction [26]. This problem highlights the need for modified stents that are designed for implantation in patients with non-retracted, fibrotic, or calcified leaflets.…”

Section: Discussionmentioning

confidence: 99%

A new type of aortic valved stent with good stability and no influence on coronary artery

Cai

Huang

Zhou

et al. 2013

J Cardiothorac Surg

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BackgroundTo evaluated the feasibility and safety of new aortic valved stents in transcatheter aortic valve implantation (TAVI) using retrograde approach by in vitro testing and animal implantation.Materials and MethodsThe fluid passing test, expanding and releasing tests, static and releasing tests in tube were performed for new valved stents. Transvalvular pressure gradient, effective orifice area, pre-implantation and post-implantation regurgitant volume for the new stents were detected. Then, the new stents were implanted in six pigs using retrograde approach. These pigs were euthanized 12 h after the implantation for anatomic evaluation.ResultsIn vitro tests showed that the closure of the new stents leaflets were effective, and stents could be released through catheter, then expanded completely and fixed fast in the tube. The coronary artery flow rates did not changed significantly after implantation (P > 0.05), while aortic regurgitant volumes were obviously reduced (P < 0.05). No significant difference in the transvalvular pressure gradient and effective orifice area of the new stents implanted within or above the valve leaflets was found (P > 0.05). In vivo experiments indicated that TAVI was successfully performed in six pigs using retrograde approach. However, one pig was died 10 h after the implantation since the stent was not expanded completely. The leaflets in stents were opening well and no valvular regurgitation was observed in the other five pigs. And thrombosis was not found.Discussion and ConclusionThe new type of aortic valved stent designed in this study was characterized with good stability and could avoid the impact caused by valve leaflets on the coronary artery.

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Surgical Treatment of Bilateral Aneurysmal Coronary to Pulmonary Artery Fistulas Associated With Severe Atherosclerosis

Cited by 7 publications

References 7 publications

Coronary artery fistula and lung adenocarcinoma: a case report and literature review

Coronary artery fistula and lung adenocarcinoma: a case report and literature review

Urgent coronary artery bypass graft operation of a patient with acute anterior myocardial infarction, congenital right coronary artery to main pulmonary artery fistula and left hilar hamartoma of the lung

A new type of aortic valved stent with good stability and no influence on coronary artery

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