Multiple coronary fistulas. Revision after diagnosis of two cases
DOI:
https://doi.org/10.37615/retic.v5n3a2Keywords:
fístulas coronarias, ecocardiografía Doppler color, angiografía coronariaAbstract
We present 2 cases of multiple coronary fistulas, which were suspected by color doppler images obtained at the beginning of a stres test, in an Echocardiogram with coronary blood flow,settings. The first case during preoperative workup for vascular surgery, and the second whithin chest pain evaluation. In both cases, the presence of these fistulas are confirmed, arising from the 3 coronary branches and draining into the left ventricle cavity. Literature review indicates that this type of fistulas ocurre very infrequently, and are almost always unsuspected findings in angiographic studies. The majority of published cases have a benign prognosis, however in some cases the presence of myocardial ischemia has been attributed to coronary steal phenomenon. For the unusual presence symptoms, beta-blocker have been used.Downloads
Metrics
References
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography Cathet Cardiovasc Diagn. 1990;21(1):28-40. DOI: https://doi.org/10.1002/ccd.1810210110
Hobbs RE, Millit HD, Raghavan PV, Moodie DS, Sheldon WC: Coronary artery fistulae: a ten-year review. Cleveland Clinic Q. 1982; 49(4):191-197. DOI: https://doi.org/10.3949/ccjm.49.4.191
Cohen LS, Shaw LD. Fatal myocardial infarction in an 11- year-old boy associated with a unique coronary artery anomaly. Am J Cardiol 1967; 19 (3): 420-423. DOI: https://doi.org/10.1016/0002-9149(67)90455-9
Jokl E, McClellan JT, Ross GD. Congenital anomaly of left coronary artery in young athlete. JAMA 1962; 182 (5): 572-573. DOI: https://doi.org/10.1001/jama.1962.03050440064021a
Angelini P. Normal and anomalous coronary arteries: definitions and classification. Am Heart J 1989; 117(2): 418–434. DOI: https://doi.org/10.1016/0002-8703(89)90789-8
Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007;115 (10):1296-305. DOI: https://doi.org/10.1161/CIRCULATIONAHA.106.618082
Jacobs ML, Mavroudis C. Anomalies of the coronary arteries: nomenclature and classification. Cardiol Young. 2010 Dec;20 Suppl 3:15-19. DOI: https://doi.org/10.1017/S1047951110001046
The International Pediatric and Congenital Cardiac Code (IPCCC). Consultado en julio 2022 Disponible en http://www.ipccc.net/
Bosi G, Milanesi O, Scorrano M, Pellegrino P A, Lintermans J P. Doppler and 2-D echocardiographic diagnosis of congenital coronary artery fistula to the right cardiac chambers: report of 3 cases. Eur J Pediatr 1992 151(8):555-557. DOI: https://doi.org/10.1007/BF01957718
Ceresnak S, Gray R, Altman K, Chen J, Glickstein J, Hellenbrand W. Coronary Artery Fistulas: A Review of the Literature and Presentation of Two Cases of Coronary Fistulas with Drainage into de Left Atrium. Congenit Heart Diseases 2007;2(3):208-213. DOI: https://doi.org/10.1111/j.1747-0803.2007.00100.x
Pelliccia A, Spataro A, Maron BJ. Prospective echocardiographic screening for coronary artery anomalies in 1,360 elite competitive athletes. Am J Cardiol. 1993; 72(12): 978-979. DOI: https://doi.org/10.1016/0002-9149(93)91120-7
Cantinnotti M, Girdano R, Assanta N, Koestenberger M, Franchi E, Clemente A, Kutty S, DÁscenzi F, Echocardiographic Screening of Anomalous Origin of Coronary Arteries in Athletes with a Focus on High Take-Of. HealthCare 2021 Feb; 9(2): 231. DOI: https://doi.org/10.3390/healthcare9020231
Barbosa MM, Katina T, Oliveira HG, Neuenschwander FE, Oliveira EC. Doppler echocardiographic features of coronary artery fistula: report of 8 cases. J Am Soc Echocardiogr. 1999;12(2):149-154. DOI: https://doi.org/10.1016/S0894-7317(99)70127-6
Xie M, Li L, Cheng TO, Sun Z, Wang X, Lv Q, Peng H, Yuan L, Wang J, Zhang L. Coronary artery fistula: comparison of diagnostic accuracy by echocardiography versus coronary arteriography and surgery in 63 patients studied between 2002 and 2012 in a single medical center in China. Int J Cardiol. 2014; 176(2):470-477. DOI: https://doi.org/10.1016/j.ijcard.2014.07.198
Sharland GK, Konta L, Qureshi SA. Prenatal diagnosis of isolated coronary artery fistulas: progression and outcome in five cases. Cardiol Young 2016; 26(5):915-920. DOI: https://doi.org/10.1017/S1047951115001535
Fernandes F, Alam M, Smith S, Khaja F. The role of transesophageal echocardiography in identifying anomalous coronary arteries. Circulation 1993;88(6):2532-2540. DOI: https://doi.org/10.1161/01.CIR.88.6.2532
Said S, van der Werf T. Dutch survey of congenital artery fistulas in adults: Coronary artery-left ventricular multiple micro-fistulas Multi-center observational survey in the Netherlands. International Journal of Cardiology 2006; 110(1):33-39. DOI: https://doi.org/10.1016/j.ijcard.2005.07.009
Chen K,Zeng Z,Li T, Chen T,Luo J,Zhou Z. Coronary artery-left ventricular multiple microfistulas, a rare disease that is easily missed: case report and literature review. J Int Med Research. 2022; 50(2):2-7 DOI: https://doi.org/10.1177/03000605221082882
Barrera-Ramírez CF, Jiménez-Mazuecos J, Portero Pérez P, Moreno R, Hernández-Antolín R, Alfonso F, Bañuelos C, Escaned J, Sabaté M, Macaya C. Multiple congenital coronary artery fistulae draining into the left ventricle. Arch Cardiol Mex. 2004; 74(1):45-48.
Biyik I, Akturk IF, Yalcin AA, Celik O, Uzun F. Left ventricular steal syndrome caused by multiple plexiform coronary artery fistulae: case report, literature review and treatment. Arch Med Sci Atherosclerotic Disease 2016;1(1):e123-e125. DOI: https://doi.org/10.5114/amsad.2016.63184
Kawakami K, Shimada T, Yamada S, Murakami R, Morioka S,Moriyama K. The Detection of Myocardial Ischemia by Thallium-201 Myocardial Scintigraphy in Patientes with Multiple Coronary Arterioventricular Connections. Clin. Cardiol. 1991; 14(12):975-980. DOI: https://doi.org/10.1002/clc.4960141208
Gascueña R, Hernández F, Tascón J C, Albarrán A, Lázaro M, Hernández S. Isquemia miocárdica demostrada secundaria a fistulas coronarias multiples con drenaje en el ventrículo izquierdo. Rev Esp Cardiol 2000; 53(5):748-751. DOI: https://doi.org/10.1016/S0300-8932(00)75149-9
Meena D S, Meena C B, Parvez J. Hypertrophic obstructive cardiomyopathy with multiple coronary arteries to right ventricular microfistulas: a cse report and review of the literature. Journal of Medical Case Reports. 2017;11(1):24. DOI: https://doi.org/10.1186/s13256-016-1161-7
Henzlova M, Nath H, Bucy R P, Bourge R, Kirklin J, Rogers W. Coronary Artery to Right Ventricle Fistula in Heart Transplant Recipiens: A Complication of Endimyocardial Biopsy. JACC 1989; 14(1):258-261. DOI: https://doi.org/10.1016/0735-1097(89)90083-1
Lim J J, Jung J I, Lee B Y, Lee H G. Prevalence and Types of Coronary Artery Fistulas Detected With Coronary CT Angiography. AJR Am J Roentgenol. 2014; 203(3):237-243. DOI: https://doi.org/10.2214/AJR.13.11613
Weaber J, McCrohon J, Rees D, Prasan A. Multivessel coronary-ventricular fistulae and ischemia on cardiac MRI. International Journal of Cardiology 2010; 139(3):e36-e38 DOI: https://doi.org/10.1016/j.ijcard.2008.11.008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Mario Alfaro, Daniela Eisen Jofré, Gonzalo Antezana Bilbao La Vieja, Sergio Bustamante
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
