ABSTRACT
Coronary artery fistulas have been described in patients after heart transplantation more often than in the normal population. We reviewed our centre's database between 2008 and 2020. Thirty patients had coronary angiography and 13 showed non-cameral coronary artery fistulas in their first coronary angiography. Distribution, degree and evolution of the fistulas and characteristics of transplant procedure, patient and immunosuppressive treatments were analysed.
Subject(s)
Coronary Artery Disease , Coronary Vessel Anomalies , Fistula , Heart Transplantation , Child , Coronary Angiography , Coronary Artery Disease/diagnosis , Coronary Artery Disease/etiology , Coronary Vessel Anomalies/diagnostic imaging , Heart Transplantation/adverse effects , HumansABSTRACT
We report an asymptomatic 5-year-old boy with coronary artery fistulas to pulmonary parenchyma and to systemic thoracic arteries, like a "natural bypass", detected during a coronary angiography performed 11 months after his heart transplant. One year later, a new coronary angiography showed no fistula. Some changes to immunosuppressive therapy during this time could be related to this evolution.
Subject(s)
Coronary Artery Disease/etiology , Everolimus/adverse effects , Fistula/etiology , Immunosuppressive Agents/adverse effects , Child, Preschool , Coronary Angiography , Coronary Artery Disease/diagnostic imaging , Fistula/diagnostic imaging , Heart Transplantation , Humans , MaleABSTRACT
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