Case Of Coronary Arteriovenous Fistula Research Articles

Coronary Arteriovenous Fistula: Direct Connection of the Proximal Circumflex Artery to the Coronary Sinus

To the Editors, We have read with great interest the article by Jeewa and colleagues published in Pediatric Cardiology describing two cases of coronary arteriovenous fistula [1]. The authors reported that the dilated left coronary artery communicated directly with the coronary sinus. The abnormal vessel ran along the atrioventricular groove and entered into the right atrium through a restrictive Thebesian valve. The morphology and location of this dilated vessel suggested the direct connection of the proximal circumflex artery to the coronary sinus. We recently experienced a case quite similar to these cases. A 12-year-old girl was referred to our hospital for a continuous murmur. The echocardiography had shown an appearance similar to that of the reported cases. The aortography also showed that the dilated left circumflex artery appeared to connect with the enlarged coronary sinus (Fig. 1a, b). However, the multidetector-row computed tomography (MDCT) images showed that the coronary sinus was present next to this abnormal vessel (Fig. 1c, d). This dilated vessel originated from left coronary artery and drained directly to the right atrium. We considered that this abnormal vessel could not be the coronary sinus in either our case or Jeewa’s cases. If the vessel was the coronary sinus, the coronary perfusion would not be workable because the blood pressure in the coronary sinus can be much higher than in the peripheral coronary arterial branches. It was quite difficult to distinguish the coronary sinus from the abnormal dilated vessel draining into the right atrium using echocardiography or conventional angiography. Although fistulas between the circumflex coronary artery and the coronary sinus are rare [2], it is quite important and essential to make a precise diagnosis. In these cases, MDCT is a promising tool for precise depiction and determination of the optimal treatment.

A Case of Coronary Arteriovenous Fistula Associated with Giant Coronary Artery Aneurysm

Introduction Coronary arteriovenous fistula (CAVF) is an infrequent vascular anomaly that establishes a direct link between an epicardial coronary artery and a cardiac chamber, major vessels, or other vascular structures. We describe a case of 76-year-old woman who develop huge coronary artery aneurysm arising from Left main coronary artery and tortuous fistula form proximal right coronary artery drained to aneurysm.

Surgical repair of triple coronary-pulmonary artery fistulae with associated atrial septal defect and aortic valve regurgitation

Coronary arterio-venous fistulae are congenital or acquired cardiac anomalies whereby blood bypasses the myocardial capillary network. Involvement of all three coronary arteries is rare. There is a wide variation in the clinical presentation and the actual morphological malformations. The mainstay of treatment is either surgical or coil embolisation. Associated congenital malformations can be dealt with during the same surgical setting if required. We present a case of coronary arterio-venous fistula involving all three coronary arteries with associated atrial septal defect and acquired aortic regurgitation, all of which were dealt with surgically with good surgical outcome.

Successful repair of coronary artery–pulmonary artery fistula with coronary artery disease and atrial septal defect in an adult

Coronary artery fistula is a very uncommon vascular communication between coronary arteries and other cardiac structures (chambers or great vessels). However, there have been several reports since 1865 with different variations in anatomy, level of communication, and clinical course. We report an adult case of coronary arteriovenous fistula arising from the left anterior descending artery (LAD) and draining anomalously into the main pulmonary artery (PA) combined with coronary artery disease (CAD) and atrial septal defect (ASD).

A Case of Coronary Arteriovenous Fistula Associated with Pulmonary Artery Aneurysm Confirmed by Multi Detector-Row Helical CT

A congenital coronary arteriovenous fistula is a rare condition, which is an abnormal communication of the coronary artery with the right or left ventricle, the right or left atrium or the pulmonary artery. A coronary arteriovenous fistula, complicated with a pulmonary aneurysm, is quite uncommon. A case of 68-year-old woman, complaining of resting chest pain for 1 week, is reported. The coronary arteriovenous fistula associated, with a pulmonary aneurysm, was confirmed by coronary angiography and multidetector-row helical CT

Five Cases of Coronary Arteriovenous Fistula from Coronary Artery to Left Ventricle

Five Cases of Coronary Arteriovenous Fistula from Coronary Artery to Left Ventricle

A Case of Coronary Arteriovenous Fistula from Diagonal Branch of Left Anterior Descending Coronary Artery to Left Ventricle

Most coronary arteriovenous fistula (CAVF) drain into the pulmonary artery or the right heart chamber. CAVF between the left coronary artery and left ventricle is very uncommon. Moreover, a case of CAVF from a diagonal branch of the LAD to the LV has not been reported so far. We report a case of a 79-year-old man, complaining of intermittent chest pain and dyspnea on exertion for apprioximately 2 months. CAVF from the diagonal branch of the LAD to the LV was confirmed by selective coronary angiography. (Korean Circulation J 2002; 32(5):438-441)

A Case of Coronary Arteriovenous Fistula Confirmed by Echocardiography

A Case of Coronary Arteriovenous Fistula Confirmed by Echocardiography

症例 術後早期に冠動脈狭小化を認めた先天性冠動脈瘻の1 例

症例 術後早期に冠動脈狭小化を認めた先天性冠動脈瘻の1 例

Two-dimensional and Doppler echocardiographic features of coronary arteriovenous fistula. Report of three cases.

Two-dimensional (2-D) and Doppler echocardiographic features of three cases of coronary arteriovenous fistula (CAVF) were analyzed. The final diagnosis was confirmed by coronary angiography in each case. In cases 1 and 2, the CAVF arose from the right coronary artery and drained into the right atrium and right ventricle, respectively. The origin and draining site of the CAVF could be visualized by 2-D echocardiograms. The Doppler studies revealed a unidirectional flow within the lumen of the CAVF. In case 3, with a small CAVF originating from both the right coronary artery and left circumflex artery draining into the main pulmonary artery, no abnormal vascular structure could be detected by the 2-D echocardiogram; with Doppler study, a diastolic as well as systolic flow signal directed toward the distal pulmonary artery could be detected.

3 cases of coronary arteriovenous fistula including one case with fistula originated from both coronary arteries and with acute myocardial infarction

3 cases of coronary arteriovenous fistula including one case with fistula originated from both coronary arteries and with acute myocardial infarction

Coronary arteriovenous fistula: Nine operated cases

Nine operated cases of coronary arteriovenous fistula were reported, with a brief review of the literature. Retrograde aortography is the best diagnostic method, although a continuous murmur atypically located for patent ductus arteriosus is suggestive of this anomaly. In view of the relative simplicity of the operation, early correction should be made before severe complications appear.