Coronary-Cameral Fistula to Pulmonary Artery: An Innocent Bystander?
J Invasive Cardiol
; 33(1): E70, 2021 Jan.
Article
en En
| MEDLINE
| ID: mdl-33385992
ABSTRACT
Coronary-cameral fistula (CCF) is a rare congenital communication between a coronary artery and a cardiac chamber or a great vessel. Most patients are asymptomatic and these lesions are incidentally detected during coronary angiography, with the reported incidence being up to 0.2%. The most frequent draining sites are right ventricle, right atrium, and pulmonary arteries, with less frequent drainage to the left side of the heart. The majority of CCFs are hemodynamically inconsequential and do not require treatment. However, when large, these lesions can cause myocardial ischemia by causing coronary steal or high-output heart failure, and should be treated. Treatment modalities include transcatheter closure with embolic agents (microcoil or gelfoam) and surgical ligation. Choice of therapy is governed by size of the CCF, tortuosity of the feeder channel, size of the communication to prevent embolization, and concomitant coronary artery disease.
Palabras clave
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Arteria Pulmonar
/
Enfermedad de la Arteria Coronaria
/
Fístula Vascular
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Humans
Idioma:
En
Revista:
J Invasive Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2021
Tipo del documento:
Article