Congenital coronary fistulas in children and adults: diagnosis, surgical technique and results

Details

Serval ID
serval:BIB_48EAE3C1C698
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Congenital coronary fistulas in children and adults: diagnosis, surgical technique and results
Journal
Journal of Cardiovascular Surgery
Author(s)
Tkebuchava  T., Von Segesser  L. K., Vogt  P. R., Jenni  R., Arbenz  U., Turina  M.
ISSN
0021-9509
Publication state
Published
Issued date
02/1996
Peer-reviewed
Oui
Volume
37
Number
1
Pages
29-34
Notes
Comparative Study
Journal Article --- Old month value: Feb
Abstract
Coronary artery fistula is a very rare congenital malformation with abnormal coronary-cameral communication that may involve any chamber and any or all coronary artery branches. We present our experience with 11 consecutive patients [mean age 16.6 years, ranging from 4 to 64 years]; 9 of them were treated surgically, spontaneous closure of the fistula was observed in one patient and one patient is still under observation. Fistulas originated from the right coronary artery in 4 patients and drained either into the right [n=3] or into the left system [n=1]. In 9 patients, the fistulas originated from the left coronary system and the fistulous communication developed with the right cardiac structures only. In 2 patients both coronary arteries were involved in the pathological drainage and 2 patients were demonstrated to have multiple drainage from the left coronary artery. Additional congenital cardiac malformations were found in 2 patients. Surgical closure of the fistula was successful in all operated patients [in one case treatment was possible without cardiopulmonary bypass]. Simple ligation of the fistula was performed in 1 patient, intracardiac closure of the fistula was combined with different reconstructive procedure in the other patients. Neither hospital mortality nor severe complications occurred. Mean follow-up interval was 39.4 months and all patients except one were in NYHA I. In presence of symptoms of congestive heart failure, significant left-to-right shunt and arrhythmias, elective closure of coronary fistula is generally accepted, whereas indication is more controversial in asymptomatic patients.
Keywords
Adolescent Adult Age Factors Child Child, Preschool Coronary Angiography Coronary Vessel Anomalies/complications/diagnosis/*surgery Echocardiography, Doppler, Color Female Follow-Up Studies Heart Valve Diseases/complications Humans Male Middle Aged Time Factors
Pubmed
Web of science
Create date
14/02/2008 14:19
Last modification date
20/08/2019 13:56
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