Coronary artery fistulae (CAF) are classified as abnormalities of a chamber of the heart (coronary-cameral fistula) or any segment of the. Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these. Coronary artery fistulas: clinical and therapeutic considerations. Coronary artery to pulmonary artery fistulae with multiple aneurysms: radiological features on dual-source slice . MDCT in the Evaluation of Coronary Cameral Fistula.

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It also ruled out any coronary atherosclerosis as reason for chest pain and ischemic symptoms on exercise treadmill test. The trabeculated appearance of the LV on transthoracic echocardiography in this case raised the suspicion of left ventricular non-compaction; however, inspection of the colour Doppler imaging clearly revealed a sustained flow of blood from the epicardial surface to the LV cornoary throughout diastole more suggestive of a coronary fistula.

Infero-lateral myocardial infarction; IMI: Author information Article notes Copyright and License information Disclaimer. Right coronary artery fistula to the coronary sinus and right atrium associated with giant right coronary enlargement detected by transthoracic echocardiography.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Brussee H, Gasser R.

Coronary–cameral fistula

National Center for Biotechnology InformationU. Left ventricular hypertrophy; M: Paroxysmal atrial fibrillation; PVI: After intravenous diuresis, the patient had left heart catheterization for evaluation of her new onset systolic heart failure and was found to have a fistula connecting distal left codonary descending artery LAD and first obtuse marginal artery OM1 to the left ventricular cavity Figures 1 and 2Movie S1 in Supplementary Material available online at https: On the other hand, congenital solitary macro coronary-cameral fistulas small and large [ 1133 – 35 ] showed an incidence of 0.


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Detection of myocardial ischaemia caused by coronary artery-left ventricular fistulae using myocardial contrast echocardiography. Left clronary coronary artery-to-left atrium fistulas detected by transesophageal echocardiography in heart transplant recipients. Imaging with colour flow Doppler demonstrated blood flow throughout diastole from the epicardial surface into the left ventricular cavity through the hypertrophied segment of myocardium.

Conservative medical management; COPD: Significant coronary artery disease was present in only 2 patients. Her past medical history included, polymyalgia rheumatica and hypothyroidism, both successfully treated with prednisolone and thyroxine, respectively.

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Coronary–cameral fistula

Frequency of acquired coronary-cameral fistula after ventricular septal myectomy in hypertrophic cardiomyopathy. Selective angiography of the left main fisfula artery from right anterior oblique view.

Severe form of persistent thebesian veins presenting as ischemic heart disease. Left anterior descending coronary artery-left ventricular fistula camerral as unstable angina and syncope. Mitral valve plasty; MVR: Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations.

Coronary artery-left ventricular micro-fistulas associated with apical hypertrophic cardiomyopathy.

Coronary artery-left ventricular fistula. In two patients successful percutaneous coronary intervention PCI procedures for fistula-bearing and non-fistula-bearing vessels were performed for the relief of complaints.

The right coronary artery showed a similar appearance to the left but to a lesser extent. Table of Contents Alerts. Receive exclusive offers and updates from Oxford Academic.


Case Reports in Cardiology

He underwent mitral valve repair and surgical ligation of the fistula. There is a left-to-right shunt if termination is to systemic venous side and there is a left-sided volume overload if the termination is in left cardiac chambers.

Coronary artery anomalies occur in less than one percent of the general population [ 1 ].

Congenital coronary artery fistulas may occur as an isolated finding or may be found associated with other congenital heart abnormalities, which most commonly occurs with severe fixtula or left outflow tract obstruction, such as in pulmonary atresia with intact interventricular septum or aortic atresia with hypoplastic left heart syndrome.

The most frequent site for the fistulas is between the right coronary artery and right ventricle.

Congenital coronary artery-cameral fistulas: Introduction Coronary artery anomalies occur in less than one percent of the general population [ 1 ]. The definitions offered by Chiu et al[ 1 ] and Gupta-Malhotra[ 12 ] were applied. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide.

Classically, diagnostic coronary angiogram has been used for diagnosis and has been considered as a gold standard for diagnosis[ 4 ] but with advances in noninvasive cardiac imaging, these fistulae are being increasingly diagnosed by MDCT or echocardiogram. Citing articles via Web of Science

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