Transesophageal echocardiography for the diagnosis of coronary arteriovenous fistula

Krishnamoorthy, Kavassery Mahadevan; Rao, Sekhar

doi:10.1016/j.ijcard.2003.03.031

Cited by 23 publications

(18 citation statements)

References 5 publications

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“…9,11 Recently, some authors have recommended the TEE for the diagnosis of fistulas because of its better resolution. 12 During surgical management, Intra-operative TEE is useful for (a) localization of drainage site, (b) identify feeding vessels, (c) document abolition of fl ow (all without need for cardiopulmonary bypass) and (d) continuous monitoring of ventricular function to detect ischemic effects of ligation. 13 But in our center, we preferred TTE and Doppler for the diagnosis of congenital CAF.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Yadav

2014

Asian J Med Sci

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Background and Aim: Coronary artery fistulae (CAF) are rare anomalies. In this study, we have done percutaneous closure of CAF in children with three different devices; ventricle septal defect (VSD) occluder, patent ductus arterious (PDA) occluder and Cook coil.Materials and Methods: We retrospectively reviewed all patients, admitted to our heart center inpatient department between September 2004 and April 2013, that had a percutaneous closure of CAF in our center, and evaluated outcomes of patients with CAF treated with cardiac catheterization.Results: A total of fi ve patients (3 females) ranged in age from7 months to 10 years with congenital CAF underwent percutaneous closure. The fistulae had origins from right coronary artery (RCA) and from left coronary artery (LCA) in 3 cases and 2 cases respectively. One RCA drained to right atrium and rest four drained to right ventricle. All 5 cases had a co ntinuous murmur. During closure, 2 fistulae closed with VSD occluder, 2 with PDA occluder & 1 with Cook coil. Percutaneous closure was successfully achieved in all the 5 patients. Follow-up studies showed that there was complete abolition without recanalization. No deaths occurred.Conclusion: Percutaneous closure of congenital CAF is very safe and effective in children with less complication and shorter hospital stay.DOI: http://dx.doi.org/10.3126/ajms.v6i4.11786 Asian Journal of Medical Sciences Vol.6(4) 2015 45-50

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Section: Discussionmentioning

confidence: 99%

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Yadav

2014

Asian J Med Sci

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“…Multiplane TEE can define more precisely the origin, course, and drainage site of coronary fistulae, and its relation to the neighbouring structures. 10 New imaging modalities, such as cardiac CT angiography or magnetic resonance imaging can be used as adjunct to coronary angiography, allowing 3D imaging of the anatomic relations of coronary fistulae to other structures, and their course.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of coronary cameral fistulae and cor triatriatum sinister in an elderly patient

Nabais

Salomé

Brandão

et al. 2008

European Heart Journal - Cardiovascular Imaging

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Coronary cameral fistulae are unusual congenital or acquired anomalous communications between an epicardial coronary artery and a cardiac chamber. There are no reported cases of the association of coronary cameral fistulae and cor triatriatum, a rare congenital cardiac anomaly in which a fibromuscular membrane divides the left atrium into two chambers. We report the case of an 82-year-old man presenting with recurrent anterior chest pain. Echocardiographic examination identified non-obstructive cor triatriatum, mitral valve prolapse resulting in significant mitral regurgitation, dilated coronary arteries, and established the entry site of coronary artery fistulae at the apex of the left ventricle (Figure 1). Coronary angiography confirmed the existence of a plexiform fistula between the left anterior descending coronary artery and the left ventricle. Tetrofosmine scintigraphy revealed the presence of stressinduced ischaemia in the apex. To our knowledge, we report the oldest person with coronary cameral fistulae presenting with angina only at this stage, and the interesting case of the coexistence of two, although unconnected, congenital conditions in an elderly patient. In addition, this report highlights the important role of transthoracic and transoesophageal echocardiography to the characterization of these unusual anomalies, and the complementary information offered by three-dimensional transthoracic echocardiography.

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“…There are several reports demonstrating giant aneurysms in coronary-pulmonary fistulas using CT and conventional angiograms [1] and coronary arteriovenous fistulas of the coronary arteries to the right atrium using transesophageal echocardiogram (TEE) [2]. There was also a report in which a conventional angiogram revealed the development of a fistulous communication between the internal mammary artery and the pulmonary vasculature following coronary artery bypass grafting as a rare complication [3].…”

Section: Discussionmentioning

confidence: 99%

“…In another report [2], TEE identified the precise location of the drainage site to aid in planning surgery, and conventional angiography and TEE were concluded to be superior to transthoracic echocardiogram for diagnosis of fistulas. But conventional angiography and TEE are invasive, and it may be difficult to recognize the spatial relationship of fistulas with coronary arteries and the right atrium three-dimensionally with these techniques.…”

Section: Discussionmentioning

confidence: 99%

Aberrant fistula arteries from the left main branch and right coronary artery to the left pulmonary arterial sinus demonstrated by multislice computed tomography

Funabashi

Komuro

2006

International Journal of Cardiology

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Transesophageal echocardiography for the diagnosis of coronary arteriovenous fistula

Cited by 23 publications

References 5 publications

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Percutaneous closure of congenital coronary artery fistulae in 5 children: A single center experience

Coexistence of coronary cameral fistulae and cor triatriatum sinister in an elderly patient

Aberrant fistula arteries from the left main branch and right coronary artery to the left pulmonary arterial sinus demonstrated by multislice computed tomography

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