Coronary artery fistulas are rare anomalies with controversial management strategies. The two main treatment options are surgical repair and catheter embolization. This case report describes successful treatment of a complex right coronary artery-to-coronary sinus fistula by using a less conventional approach: multiple coronary artery bypass grafting.
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| http://dx.doi.org/10.1016/j.athoracsur.2018.05.004 | DOI Listing |
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Giant tortuous right coronary artery to coronary sinus fistula with severe tricuspid regurgitation.
Indian J Thorac Cardiovasc Surg
November 2024
Manchester Heart Centre, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, 1607 Anaconda Cut, 100 Greengate, Manchester, M3 7NG UK.
We report a case of a giant tortuous right coronary artery to coronary sinus fistula with severe tricuspid regurgitation in a 78-year-old female. The initial working diagnosis was based on clinical manifestations and echocardiography, further supported with computed tomography coronary angiography. The fistula was surgically closed with satisfactory results.
View Article and Find Full Text PDFThe left axillary artery is a reasonable option as the inflow site for saphenous vein graft in minimally invasive coronary artery bypass grafting.
Front Cardiovasc Med
August 2024
Cardiovascular and Thoracic Surgery Unit, Department of Surgery, Lampang Hospital, Lampang, Thailand.
Introduction: This study aims to clarify the good inflow site for saphenous vein grafts (SVG) in minimally invasive off-pump coronary artery bypass grafting (mini-CABG), between the ascending aorta, the internal thoracic arteries (ITAs) and the left axillary artery (LAA).
Methods: This retrospective study included 126 patients who underwent Mini-CABG at our center between January 2014 and July 2023. Patients were divided into three groups according to the SVG inflow site for patency comparison: Aorta group ( = 56), LAA group ( = 23), and ITA group ( = 47).
Right Coronary Artery-to-Coronary Sinus Fistula with Giant Tortuous Dilatation of the Right Coronary Artery.
J Belg Soc Radiol
June 2024
Radiology department, Cliniques de l'Europe, Avenue de Fré 206, 1180 uccle, Belgium.
A coronary artery fistula (CAF) is an uncommon anomaly characterized by a diverse clinical spectrum, ranging from asymptomatic cases to severe complications, including heart failure and myocardial infarction.
View Article and Find Full Text PDFSurgical management of multiple coronary artery to coronary sinus fistulas with giant left circumflex artery and multivalvular infective endocarditis.
J Cardiothorac Surg
April 2024
Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, 877, Bangeojinsunhwando-ro, Dong-gu, Ulsan, 44033, Republic of Korea.
Coronary artery fistula (CAF) is characterized as a congenital or acquired abnormal communication between a coronary artery and any of the four chambers of the heart (coronary-cameral fistula) or great vessels (coronary arteriovenous fistula) bypassing the capillaries within myocardium. CAF is a rare disease, challenging to diagnose and treat depending on the anatomical location and type of the fistula and accompanying diseases. This study aims to report a case with multiple coronary artery to coronary sinus (CS) fistulas with giant left circumflex artery and multivalvular infective endocarditis.
View Article and Find Full Text PDFA case report of a young woman with pulmonary emboli and a right coronary artery-to-coronary sinus fistula.
Eur Heart J Case Rep
April 2024
Warrington Hospital, Warrington and Halton Hospitals NHS Foundation Trust, Lovely Lane, Warrington WA5 1QG, UK.
Background: Coronary artery fistulae are rare cardiovascular anomalies that can present with atypical symptomatology and therefore pose diagnostic challenges, especially in young patients.
Case Summary: A 34-year-old woman presented with left-sided pleuritic chest pain, haemoptysis, and flu-like symptoms. Initial evaluation revealed multiple left-sided pulmonary emboli, and her transthoracic echocardiography showed turbulent flow in a dilated coronary sinus.
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