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Clinical Evaluation of Coronary Artery Fistula  

Lee Sak (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Park Han-Ki (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Lim Sang-Hyun (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Hong You-Sun (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Chang Byung-Chul (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Kang Meyun-Shick (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Cho Bum-Koo (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Park Young-Hwan (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
Publication Information
Journal of Chest Surgery / v.38, no.10, 2005 , pp. 699-704 More about this Journal
Abstract
Background: Coronary artery fistula is rare congenital anomaly, which account for $0.27\~0.40\%$ of all congenital heart diseases. We report the clinical observations of 45 patients with coronary artery fistula. Material and Method: We reviewed all patients presented with or without symptoms of coronary artery fistula between 1987 and 2004. Age ranged from 1 to 83 years. Twenty-six patients were female. The patients were divided into 2 groups according to the presenting symptoms. Twelve patients were in group A (asymptomatic) and 33 patients in group B (symptomatic). The most common clinical presentation in group B was angina (18) followed by dyspnea (7), atypical chest pain (5), syncope (1), fatigue (1), and palpitation (1). Twenty-five patients were associated with other cardiac diseases, which were atrial septal defect (4), coronary artery occlusive disease (6), hypertension (12), and valvular heart disease (2). Result: Patients were followed-up for a mean period of $64.8\pm62.7$ months. There was no complication related to coronary artery fistula during the follow-up period in both group. There was no mortality related to coronary artery fistula. Conclusion: In symptomatic patients, early surgical treatment is recommended considering the low perioperative morbidity. In asymptomatic patients receiving medical treatment, close follow up may be necessary.
Keywords
Coronary artery fistula; Congenital heart disease (CHD); Fistula;
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1 Carrel T, Tkebuchava T, Jenni R, Arbenz U, turina M. Congenital coronary fistulas in children and adults: diagnosis, surgical technique and results. Cardiology 1996;87: 325-30   DOI   ScienceOn
2 Said SAM, El Gamal MIH, van der Werf T. Coronary arteriovenous fistula: collective review and management of six new cases -changing etiology, presentation, and treatment strategy. Clin Cardiol 1997;20:748-52   DOI   ScienceOn
3 Sunder KS, Balakrishnan KG, Tharakan JA, et al. Coronary artery fistula in children and adults: a review of 25 cases with long-term observations. Int J Cardiol 1997;58:47-53   DOI   ScienceOn
4 Hallman GL, Cooley DA, Singer DB. Congenital anomalies of the coronary arteries, anatomy, pathology, and surgical treatment. Surgery 1996;59:798-808
5 Krause W. Uberden ursprung einer. Akzessorischen A. Coronaria aus der A Pulmonalis. Z Ratl Med 1865;24:225-7
6 Shubrooks SJ, Naggar CZ. Spontaneous near closure of coronary artery fistula. Circulation 1978;57:197-9   DOI   ScienceOn
7 Schleich JM, Rey C, Gewillig M, Bozio A. Spontaneous closure of congenital coronary artery fistulas. Heart 2001; 85:E6
8 Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE. Management of coronary artery fistulae. patient selection and results of transcatheter closure. J Am Coll Cardiol 2002;39:1026-32   DOI   ScienceOn
9 Kim H, Park JK, Kim YH, et al. Bilateral coronary artery to pulmonary artery fistula -two case report-. Korean J Thorac Cardiovasc Surg 2004; 37:925-8
10 Allen IM, Gustavo AB, Replogle R. Surgical closure of left coronary artery- left ventricular fistula. J Thorac Cardiovasc Surg 1997;74:199-203
11 Choi YH, Choe YH, Yoo SJ, et al. Congenital anomalies of the coronary arteries. Korean Circulation J 1991;21:556-66   DOI
12 Lee OK, Lee HY, Lee JK, Park YH. Congenital left circumflex coronary artery to left ventricle fistula -a case report-. Korean Pediatr Heart J 2004;3:106-12
13 Rhee GH, Choi JK, Kuh JH, Rhee YK, Chae JK, Kim WH, et al. Congenital coronary arteriovenous fistula combined with ASD. Korean Circulation J 2000;30:767-71   DOI
14 Choi YH, Park JH, Kim YM, Kim YK, Kim MA, Park YB. Congenital anomalies of coronary arteries detected in adulthood. Korean Circulation J 1997;27:287-95
15 Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M. Coronary artery fistulas in infants and children: A surgical review and discussion of coil embolization. Ann Thorac Surg 1997;63:1235-42   DOI   ScienceOn
16 Tomita H, Sawada Y, Nagata N, Chiba S. Spontaneous near closure of coronary artery fistula: Doppler echocardiographic findings. Acta Paediatr Jpn 1991;33:389-93   DOI
17 Seo YH, Shin DK, Kim KS. Coronary artery fistula associated with atrial septal defect-report of one case-. Korean J Thorac Cariovasc Surg 2000;35:463-6
18 Cheung DLC, Au WK, Cheung HHC, Chiu CSW, Lee WT. Coronary artery fistulas: long-term results of surgical correction. Ann Thorac Surg 2001;71:190-5   DOI   ScienceOn