Transesophageal echocardiography on the presurgical and postsurgical evaluation of a coronary arteriovenous fistula

Almeida, Jorge; Lobo, A J; Casanova, Jorge; Torres, José Pinheiro; Gomes, Maria Rosemary da Silva

doi:10.1016/s0894-7317(97)70058-0

Cited by 11 publications

(8 citation statements)

References 8 publications

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“…Despite its accuracy in diagnosing CAF, coronary angiography is an invasive procedure, and sometimes, it is not the best option in patients with multiple comorbidities. Although coronary angiography is now the “gold standard” diagnostic tool, studies on CAF have showed that multiplane TEE can also accurately provide a high quality view of the origin, course, and drainage site of CAF . TEE has been used in limited cases for diagnosing and localizing CAF, which were not identified via TTE …”

Section: Discussionmentioning

confidence: 99%

“…Although coronary angiography is now the "gold standard" diagnostic tool, studies on CAF have showed that multiplane TEE can also accurately provide a high quality view of the origin, course, and drainage site of CAF. [19][20][21][22] TEE has been used in limited cases for diagnosing and localizing CAF, 23 which were not identified via TTE. 21,24,25 Infective endocarditis has a high mortality rate.…”

Section: Discussionmentioning

confidence: 99%

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Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

2015

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Coronary artery fistulae (CAF) are rare congenital anomalies and reported to have an incidence of 0.1-0.2% of all coronary angiograms. An association between fistulae and nonatherosclerotic coronary artery aneurysms is even more rare. In childhood, patients are mostly asymptomatic; however, patients older than 20 years old may present with signs of infective endocarditis, myocardial ischemia, congestive heart failure, and aneurysm rupture. CAF are typically identified by coronary angiography; however, there are some limited studies showing that transesophageal echocardiography (TEE) can also be useful in identifying CAF. Here we report two cases of endocarditis secondary to congenital coronary artery fistulae draining into either a cardiac cavity or a coronary sinus, which were detected by TEE. Vegetations were found at the site of the fistulae drainage. Management for young patients is either percutaneous or surgical intervention. For elderly patients with multiple comorbidities, conservative treatment is another option. In these two cases, treating endocarditis with proper antibiotics and supportive treatment, the patients' conditions improved significantly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

2015

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“…10 Sometimes, angiography may fail to show the drainage site while TEE would be successful. 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.…”

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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“…Angiography may fail to show the drainage site while TEE would be successful [1,3]. Only TEE could identify the drainage site in some cases.…”

Section: Teementioning

confidence: 99%

“…Only TEE could identify the drainage site in some cases. TEE was complementary in the diagnosis and aided in surgical management of a patient where it had failed in a previous attempt [3].…”

Section: Teementioning

confidence: 99%

Transesophageal echocardiography for the diagnosis of coronary arteriovenous fistula

Krishnamoorthy

Rao

2004

International Journal of Cardiology

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Transesophageal echocardiography on the presurgical and postsurgical evaluation of a coronary arteriovenous fistula

Cited by 11 publications

References 8 publications

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

Coronary Artery Fistula‐Associated Endocarditis: Report of Two Cases and a Review of the Literature

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

Transesophageal echocardiography for the diagnosis of coronary arteriovenous fistula

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