1
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Pezzato A, Fabris E, Korcova R, Belgrano M, Sinagra G. Long-Term Follow-Up of a Nonprogressive Left Main Coronary Artery Fistula to Right Atrium. JACC Case Rep 2023; 9:101735. [PMID: 36909265 PMCID: PMC9998730 DOI: 10.1016/j.jaccas.2023.101735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 12/15/2022] [Accepted: 12/27/2022] [Indexed: 01/28/2023]
Abstract
Coronary artery fistula is a rare cardiac abnormality, occurring more frequently in young patients and treated with cardiac surgery or percutaneous interventions in most cases. We present the case of a 63-year-old man with an incidental diagnosis of coronary artery fistula, treated with conservative strategy. (Level of Difficulty: Intermediate.).
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Affiliation(s)
- Andrea Pezzato
- Cardiothoracic Department, Azienda Sanitaria Universitaria Integrata di Trieste, University of Trieste, Trieste, Italy
| | - Enrico Fabris
- Cardiothoracic Department, Azienda Sanitaria Universitaria Integrata di Trieste, University of Trieste, Trieste, Italy
| | - Renata Korcova
- Cardiothoracic Department, Azienda Sanitaria Universitaria Integrata di Trieste, University of Trieste, Trieste, Italy
| | - Manuel Belgrano
- Department of Radiology, Azienda Sanitaria Universitaria Integrata of Trieste, University of Trieste, Trieste, Italy
| | - Gianfranco Sinagra
- Cardiothoracic Department, Azienda Sanitaria Universitaria Integrata di Trieste, University of Trieste, Trieste, Italy
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2
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Chien DV, The Tho P, Son Lam P, Truong Son P, Nguyen Son P. Multivessel Coronary Artery Disease in a Patient With Noncompaction Cardiomyopathy With Coronary Artery-to-Left Ventricle Fistulas. JACC Case Rep 2022; 4:370-375. [PMID: 35495560 PMCID: PMC9040107 DOI: 10.1016/j.jaccas.2022.01.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/21/2022] [Accepted: 01/27/2022] [Indexed: 06/02/2023]
Abstract
Coexistence of coronary artery-to-left ventricle fistula (CALVF) and noncompaction cardiomyopathy (NCC) is rare in patients with severe multiple coronary stenosis. We report CALVF in a 70-year-old man with acute coronary syndrome (ACS) and NCC. Left ventricular ejection fraction may not improve by total revascularization in this condition. (Level of Difficulty: Advanced.).
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Affiliation(s)
- Do Van Chien
- Address for correspondence: Dr Chien, Department of Cardiology, 108 Central Military Hospital, No 1, Tran Hung Dao Street, Bach Dang Commune, Hai Ba Trung District, Hanoi 10000, Vietnam. @ChienDoVan2
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3
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Witte LS, Bouma BJ, Straver B, van der Lienden BTG, Kist R, Blom NA, Koolbergen DR, de Winter RJ. Closing a Right Coronary Artery Fistula Draining Into the Coronary Sinus Using a Covered Stent in the Coronary Sinus. JACC Case Rep 2021; 3:1589-1593. [PMID: 34729507 PMCID: PMC8543131 DOI: 10.1016/j.jaccas.2021.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 06/02/2021] [Accepted: 06/07/2021] [Indexed: 11/25/2022]
Abstract
This report describes the case of a symptomatic patient with a right coronary artery fistula draining into the coronary sinus who underwent transcatheter closure, which was deployed in the drainage site to seal off the exit of the fistula. (Level of Difficulty: Advanced.)
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Affiliation(s)
- Lars S Witte
- Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands
| | - Berto J Bouma
- Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands
| | - Bart Straver
- Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands.,Department of Pediatric Cardiology, Amsterdam University Medical Centers, Amsterdam, the Netherlands
| | | | - Rudolf Kist
- Department of Cardiology, Rode Kruis Hospital, Beverwijk, the Netherlands
| | - Nico A Blom
- Department of Pediatric Cardiology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.,Department of Pediatric Cardiology, Leiden University Medical Center, Leiden, the Netherlands
| | - David R Koolbergen
- Department of Cardiothoracic Surgery, Amsterdam University Medical Centers, Amsterdam, the Netherlands
| | - Robbert J de Winter
- Department of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands
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4
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De Marco C, Boulet J, Aldhaheri E, Grondin S, Pham M, L'Allier PL, Bouchard D, Basmadjian AJ. A Rare Case of Coronary Artery Dilatation and Giant Pseudoaneurysm. JACC Case Rep 2021; 3:786-788. [PMID: 34317626 PMCID: PMC8311181 DOI: 10.1016/j.jaccas.2021.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 02/09/2021] [Accepted: 03/17/2021] [Indexed: 11/28/2022]
Abstract
Coronary artery fistula are anomalous connections with coronary vessels or cardiac chambers, potentially resulting in coronary dilatation and pseudoaneurysm formation. We present the case of a 68-year-old woman referred to our institution for a voluminous coronary pseudoaneurysm secondary to coronary artery fistula presenting as a nearly completely obstructive left atrial mass. (Level of Difficulty: Intermediate.).
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Affiliation(s)
- Corrado De Marco
- Department of Medicine, Université de Montréal, Montréal, Canada
| | - Jacinthe Boulet
- Department of Medicine, Université de Montréal, Montréal, Canada.,Department of Cardiology, Montreal Heart Institute, Université de Montréal, Montréal, Canada
| | - Eisa Aldhaheri
- Department of Medicine, Université de Montréal, Montréal, Canada.,Department of Cardiology, Montreal Heart Institute, Université de Montréal, Montréal, Canada
| | - Stéphanie Grondin
- Department of Internal Medicine, Hôpital Ste-Croix, Drummondville, Canada
| | - Magali Pham
- Department of Radiology, Montreal Heart Institute, Université de Montréal, Montréal, Canada
| | - Philippe L L'Allier
- Department of Medicine, Université de Montréal, Montréal, Canada.,Department of Cardiology, Montreal Heart Institute, Université de Montréal, Montréal, Canada
| | - Denis Bouchard
- Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montréal, Canada
| | - Arsène J Basmadjian
- Department of Medicine, Université de Montréal, Montréal, Canada.,Department of Cardiology, Montreal Heart Institute, Université de Montréal, Montréal, Canada
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5
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Imaizumi T, Takata K, Ike A, Idemoto Y, Shiga Y, Sugihara M, Matsunaga A, Miura SI. A Continuous Murmur as the Only Clinical Sign for Complex Coronary Artery Fistulas Diagnosis. JACC Case Rep 2021; 3:740-744. [PMID: 34317617 PMCID: PMC8311187 DOI: 10.1016/j.jaccas.2021.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 02/08/2021] [Accepted: 03/12/2021] [Indexed: 11/24/2022]
Abstract
An asymptomatic patient presented at our hospital exhibiting a Brugada electrocardiography pattern with coronary artery fistulas. Coronary artery fistula is a congenital or acquired rare abnormal condition with increased symptoms and complications over time. In the absence of the therapeutic consensus, we discuss the association and management for this condition. (Level of Difficulty: Advanced.).
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Key Words
- BA, bronchial artery
- BrP, Brugada phenocopy
- BrS, Brugada syndrome
- CAF, coronary artery fistula
- CAG, coronary angiography
- CBF, coronary artery–to–bronchial artery fistula
- CCTA, cardiac computed tomography angiography
- ECG, electrocardiography
- IE, infectious endocarditis
- LAD, left anterior descending artery
- LMT, left main trunk
- PT, pulmonary trunk
- TTE, transthoracic echocardiography
- coronary vessel anomaly
- electrocardiogram
- murmur
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Affiliation(s)
- Tomoki Imaizumi
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
| | - Kohei Takata
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
- Department of Laboratory Medicine, Fukuoka University Hospital, Fukuoka, Japan
| | - Amane Ike
- Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan
| | - Yoshiaki Idemoto
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
| | - Yuhei Shiga
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
| | - Makoto Sugihara
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
| | - Akira Matsunaga
- Department of Laboratory Medicine, Fukuoka University Hospital, Fukuoka, Japan
| | - Shin-ichiro Miura
- Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
- Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka, Japan
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6
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Ito Y, Kainuma S, Yoshikawa Y, Toda K, Miyagawa S, Hata H, Yoshioka D, Ide S, Sawa Y. Unusual Case of Giant Nonthrombosed Right Coronary Artery Pseudoaneurysm With Coronary Artery Fistula. JACC Case Rep 2021; 3:806-810. [PMID: 34317630 PMCID: PMC8311150 DOI: 10.1016/j.jaccas.2021.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 01/11/2021] [Accepted: 01/22/2021] [Indexed: 11/03/2022]
Abstract
Coronary artery aneurysm and pseudoaneurysm are rare and mainly result from atherosclerosis. We present a successfully treated case of a giant right coronary artery aneurysm and pseudoaneurysm with a coronary artery fistula, which might have developed after cardiac surgery for a right ventricular tumor 35 years earlier. (Level of Difficulty: Advanced.).
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Affiliation(s)
- Yoshito Ito
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Satoshi Kainuma
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Yasushi Yoshikawa
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Koichi Toda
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Shigeru Miyagawa
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Hiroki Hata
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Daisuke Yoshioka
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Seiko Ide
- Department of Cardiology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Yoshiki Sawa
- Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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7
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Kubota S, Hara H, Yamamoto M, Hiroi Y. Percutaneous Coil Embolization of Confluent Bilateral Coronary Artery Fistulas. JACC Case Rep 2020; 2:991-995. [PMID: 34317400 PMCID: PMC8302086 DOI: 10.1016/j.jaccas.2020.04.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 04/03/2020] [Accepted: 04/13/2020] [Indexed: 10/29/2022]
Abstract
A 52-year-old woman presented with a continuous heart murmur at an annual health examination. Coronary computed tomography angiography showed confluent coronary artery fistulas meeting to form a large aneurysm fistulizing to the pulmonary artery. Percutaneous coil embolization was performed, resulting in the disappearance of the coronary artery fistulas and aneurysms. (Level of Difficulty: Intermediate.).
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Affiliation(s)
- Shuji Kubota
- Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Hisao Hara
- Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Masaya Yamamoto
- Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Yukio Hiroi
- Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan
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