| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1997;63:1235-1242
© 1997 The Society of Thoracic Surgeons
Divisions of Cardiovascular-Thoracic Surgery and Cardiology, Children's Memorial Hospital, and the Departments of Surgery and Pediatrics, Northwestern University Medical School, Chicago, Illinois
Background. Coronary artery fistula (CAF) is a rare congenital anomaly that can be complicated by intracardiac shunts, endocarditis, myocardial infarction, or coronary aneurysms. Recent reports have emphasized the efficacy of percutaneous transcatheter techniques. The purpose of this article is to review a 28-year surgical experience with CAF as a standard for comparison and to discuss the emergence and efficacy of transcutaneous catheter coil embolization as an alternative form of therapy.
Methods. From 1968 to 1996, 17 patients (age, 6 weeks to 16.5 years; mean age, 5.5 years) were diagnosed with CAF: 8 of 12 by echocardiography and 17 of 17 by cardiac catheterization. All patients with isolated CAF (n = 13) were asymptomatic despite significant clinical, electrocardiographic, and chest roentgenographic findings in 10. Sixteen had congenital CAF and 1 had acquired CAF after tetralogy of Fallot repair with injury of the anomalous left anterior descending coronary artery. Associated anomalies included tetralogy of Fallot (2), atrial septal defect (1), and patent ductus arteriosus (1). Nine fistulas originated from the right coronary artery and eight from the left. Drainage was to the right ventricle (9), right atrium (4), pulmonary artery (3), and left atrium (1).
Results. All patients had a median sternotomy with epicardial or endocardial ligation. Cardiopulmonary bypass was used in 8; 1 of these (iatrogenic CAF) required distal internal mammary artery bypass graft. There were no operative or late deaths. Follow-up evaluation by physical examination (17), echocardiography (8), and catheterization (2) showed no evidence of recurrent or residual CAF. A retrospective review of the 16 available cine cardioangiograms showed that coil embolization was possible in, at most, 6 patients.
Conclusions. Early surgical management of CAF is a safe and effective treatment resulting in 100% survival and 100% closure rate. Transcatheter embolization is a reasonable alternative to standard surgical closure in only a very small, select group of patients. These surgical results should be considered the standard against which transcatheter techniques are compared.
Related Article
Ann. Thorac. Surg. 1997 63: 1242.
This article has been cited by other articles:
|
|
 |
|
  N. A. Zenooz, R. Habibi, L. Mammen, J. P. Finn, and R. C. Gilkeson Coronary Artery Fistulas: CT Findings RadioGraphics, May 1, 2009; 29(3): 781 - 789. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al. ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease) Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons J. Am. Coll. Cardiol., December 2, 2008; 52(23): e143 - e263. [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al. ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease): Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Circulation, December 2, 2008; 118(23): e714 - e833. [Full Text] [PDF]
|
|
|
|
|
|
R. J. Sommer, Z. M. Hijazi, and J. F. Rhodes Jr Pathophysiology of Congenital Heart Disease in the Adult: Part I: Shunt Lesions Circulation, February 26, 2008; 117(8): 1090 - 1099. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Benlafqih, B. Leobon, V. Chabbert, and Y. Glock Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 413 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Oyamada, J. Kobayashi, O. Tagusari, K. Niwaya, H. Nakajima, S. Miyazaki, K. Kimura, S. Echigo, and S. Kitamura Hybrid Therapy for Rapid Enlargement of Hibernating Coronary Arteriovenous Fistulas Ann. Thorac. Surg., April 1, 2007; 83(4): 1532 - 1534. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Alphonso, P. V. Anagnostopoulos, A. Azakie, and T. R. Karl Undiagnosed coronary fistula causing low cardiac output syndrome after pediatric heart surgery. Eur. J. Cardiothorac. Surg., August 1, 2006; 30(2): 397 - 399. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-H. Hung, J.-H. Lu, J. Hung, and J.-D. Chen Prenatal diagnosis of a right coronary-cameral fistula. J. Ultrasound Med., August 1, 2006; 25(8): 1075 - 1078. [Full Text] [PDF]
|
|
|
|
 |
|
 L. A. Dallan, L. A. F. Lisboa, C. A. C. Abreu Filho, F. Platania, and S. A. De Oliveira Coronary artery bypass graft using the right coronary artery-pulmonary artery fistula J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 225 - 226. [Full Text] [PDF]
|
|
|
|
|
|
P. K. Hol, O. Geiran, K. Andersen, K. Vatne, J. Offstad, J. L. Svennevig, and E. Fosse Improvement of Coronary Artery Fistula Surgery by Intraoperative Imaging Ann. Thorac. Surg., December 1, 2004; 78(6): 2193 - 2195. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Demirkilic, E. Ozal, H. Bingol, F. Cingoz, C. Gunay, S. Doganci, E. Kuralay, and H. Tatar Surgical Treatment of Coronary Artery Fistulas: 15 Years' Experience Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 133 - 138. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. L. Gandy, A. G. Rebeiz, A. Wang, and J. J. Jaggers Left main coronary artery-to-pulmonary artery fistula with severe aneurysmal dilatation Ann. Thorac. Surg., March 1, 2004; 77(3): 1081 - 1083. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis and R. M. Sade The Southern Thoracic Surgical Association 50th anniversary celebration: the impact of STSA pediatric cardiothoracic surgery manuscripts on surgical practice Ann. Thorac. Surg., November 1, 2003; 76(90050): S47 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K.M. Krishnamoorthy and S. Rao Saccular aneurysm of congenital coronary arteriovenous fistula Interactive CardioVascular and Thoracic Surgery, September 1, 2003; 2(3): 295 - 297. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Aydogan Transcatheter Embolization Treatment of Coronary Arteriovenous Fistulas Asian Cardiovasc Thorac Ann, March 1, 2003; 11(1): 63 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Atmaca, T. Altin, C. Ozdol, G. Pamir, N. Caglar, and D. Oral Coronary-Pulmonary Artery Fistula Associated with Right Heart Failure: Successful Closure of Fistula with a Graft Stent: A Case Report Angiology, September 1, 2002; 53(5): 613 - 616. [Abstract] [PDF]
|
|
|
|
|
|
L. R. Armsby, J. F. Keane, M. C. Sherwood, J. M. Forbess, S. B. Perry, and J. E. Lock Management of coronary artery fistulae: Patient selection and results of transcatheter closure J. Am. Coll. Cardiol., March 20, 2002; 39(6): 1026 - 1032. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Oomman, R. Mao, P. Krishnan, and M. R. Girinath Congenital aortocaval fistula to the superior vena cava Ann. Thorac. Surg., September 1, 2001; 72(3): 911 - 913. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Dodge-Khatami, C. Mavroudis, and C. L. Backer Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries Ann. Thorac. Surg., April 1, 2000; 69(4): S270 - 297. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Kadir, R. Ascione, S. Linter, and A. J. Bryan Intraoperative localisation and management of coronary artery fistula using transesophageal echocardiography Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 364 - 366. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis, C. L. Backer, C. E. Duffy, E. Pahl, and D. F. Wax Pediatric coronary artery bypass for Kawasaki, congenital, post arterial switch, and iatrogenic lesions Ann. Thorac. Surg., August 1, 1999; 68(2): 506 - 512. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. K Kaushal, S. Radhakrishnan, and K. S Iyer Minimally Invasive Ligation of Coronary Artery Fistula Asian Cardiovasc Thorac Ann, September 1, 1998; 6(3): 229 - 231. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
