Tc-99m Tetrofosmin SPECT in Coronary Cameral Fistula

Sibille, L.; Boudousq, Vincent; Soullier, Camille; Rossi, Michel; Mariano‐Goulart, Denis

doi:10.1097/rlu.0b013e3181a7cfa2

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…If the patient has limited myocardial ischemia territory (< 10% left ventricular surface area) and is asymptomatic pharmacotherapy is the first-line treatment. 40…”

Section: Myocardial Perfusion Scanmentioning

confidence: 99%

Coronary Arteriovenous Fistulae: A Review

Challoumas

Pericleous

Dimitrakaki³

et al. 2014

Int J Angiol

144

105

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Coronary arteriovenous fistulae (CAVF) are a major coronary anomaly, being present in 0.002% of the general population and was first described by Krause in 1865.1,2 The majority are congenital in origin, representing 0.4% of all cardiac malformations.3 These coronary artery anomalies involve one or more coronary arteries abnormally communicating with one of the cardiac chambers (coronary cameral fistulae) or the great vessels adjacent to the heart (coronary artery or arteriovenous fistulae). 4According to the classification by Ogden in 1970, CAVF belong to coronary arteries anomalies that also include anomalous pulmonary artery origins of the coronaries, anomalous aortic origins of the coronaries, congenital atresia of the left main coronary artery, coronary artery bridging, coronary aneurysms, and coronary stenosis. Coronary anomalies may be abnormalities of origin, distribution, or termination. CAVF are considered mainly to be termination abnormalities. 5,6Nomenclature is based upon a descriptive analysis of the vessel of origin and the chamber of termination. According to Sakakibara et al, there are two types of angiographic classification: Type A-proximal type, where the proximal coronary segment is dilated to the origin of the fistula and the distal end is normal; and Type B-distal type, where the coronary artery is dilated over its entire length terminating as a fistula mainly into the right side of the heart (end-artery type) and the proximal coronary segment can or might have regular branches.6 Each one of these groups can be presented with different clinical signs and symptoms.6,7 EpidemiologyThe incidence of coronary anomalies is 0.2 to 1.2% of the population. 6CAVF are present in 0.002% of the general population and comprise 48.7% of all congenital coronary anomalies.8,9 They are the most common of hemodynamically significant coronary lesions. 8-11Among all pediatric coronary vasculature anomalies, approximately half of them are CAVF. 12,13Keywords ► arteriovenous fistula ► cardiac surgery ► coronary artery ► fistula ► symptomatic ► cardiovascular disease ► cardiac catheterization AbstractCoronary arteriovenous fistulae are a coronary anomaly, presenting in 0.002% of the general population. Their etiology can be congenital or acquired. We present a review of recent literature related to their epidemiology, etiology, pathophysiology, clinical presentation, diagnostic approach, and therapeutic management.

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“…If the patient has limited myocardial ischemia territory (< 10% left ventricular surface area) and is asymptomatic pharmacotherapy is the first-line treatment. 40…”

Section: Myocardial Perfusion Scanmentioning

confidence: 99%

Coronary Arteriovenous Fistulae: A Review

Challoumas

Pericleous

Dimitrakaki³

et al. 2014

Int J Angiol

144

105

View full text Add to dashboard Cite

show abstract

“…It can help decide the need for invasive approach to the management. If the patient is asymptomatic and has a reduced territory (<10% left ventricular surface area) showing myocardial ischaemia, drug therapy is the first line of management 12. However, due to cost constraints and low socioeconomic status, it was not feasible to do nuclear stress test in this patient.…”

Section: Discussionmentioning

confidence: 95%

Coronary artery fistula and mid-cavitary obstructive hypertrophic cardiomyopathy: a rare association

Wattal¹,

Harish

Devasia

et al. 2018

BMJ Case Reports

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We report a case of a 60-year-old man with a history of angina on exertion (New York Heart Association Class II) who was found to have mid-cavitary obstructive hypertrophic cardiomyopathy on two-dimensional echocardiography and whose coronary angiogram showed right coronary artery-left ventricular fistula, with no significant coronary atherosclerosis suggestive of ischaemic heart disease. The patient was started on beta-blocker therapy, and on follow-up his angina improved. The patient had a benign course and did not have any progressive heart failure or acute coronary syndrome on follow-up. This case report highlights a rare association of mid-cavitary obstructive hypertrophic cardiomyopathy with coronary artery fistula.

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Coronary-cameral fistulas in adults: Acquired types (second of two parts)

Saïd¹,

Schiphorst²,

Derksen³

et al. 2013

WJC

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Acquired coronary artery fistulas (CCFs) are infrequently detected during conventional coronary angiography. To delineate the characteristics of congenital (first part) and acquired (second part) CCFs in adults, a PubMed search was conducted for papers dealing with congenital or acquired CCFs. None of the publications describing patients with coronary-vascular fistulas were included. Papers dealing with pediatric subjects were excluded. From the world literature, a total of 243 adult patients were selected who had congenital (n = 159/243, 65%) and acquired (n = 84/243, 35%) CCFs. Among the acquired types (n = 72, 85.7%) were traumatic (iatrogenic (n = 65/72, 90%), accidental (n = 7/72, 10%) and (n = 12, 14.3%) spontaneously developing in relation to severe coronary atherosclerosis or myocardial infarction. A high incidence of spontaneous resolution of iatrogenic CCFs resulting from endomyocardial biopsy or following post-septal myectomy was reported. Spontaneous CCFs associated with myocardial ischemia or infarction resolved completely in 8% of the subjects. Early surgical intervention was the treatment of choice in acquired traumatic accidental CCFs. The congenital types are addressed in a previous issue of this journal (first part). In this review (second of two parts, part II), we describe the acquired coronary-cameral fistulas.

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Tc-99m Tetrofosmin SPECT in Coronary Cameral Fistula

Cited by 3 publications

References 6 publications

Coronary Arteriovenous Fistulae: A Review

Coronary Arteriovenous Fistulae: A Review

Coronary artery fistula and mid-cavitary obstructive hypertrophic cardiomyopathy: a rare association

Coronary-cameral fistulas in adults: Acquired types (second of two parts)

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