Document Detail

Angiographic and clinical manifestations of coronary fistulas in Chinese people: 15-year experience.
MedLine Citation:
PMID:  18654007     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Coronary artery fistula (CAF) is an anomaly resulting in the steal phenomenon of coronary blood flow, which may cause morbidity or mortality. CAFs in Chinese patients after long-term follow-up of 15 years were retrospectively analyzed. METHODS AND RESULTS: From September, 1992 to August, 2007, 152 CAFs were detected in 28,210 coronary angiograms from 125 patients. Clinical and angiographic data of all patients were analyzed retrospectively. Two types of CAFs were characterized: type I in 99 patients with 124 solitary coronary to cardiac chamber or great vessel fistula; type II: 26 patients with 28 coronary artery--left ventricular multiple microfistulas. Single-, double-, and triple-CAFs were detected in 79%, 20%, and 1% of patients, respectively. Coexistent coronary lesions were noted in 41% of patients. Fistula-related symptoms included stable angina in 55, myocardial infarction in 2, heart failure in 2, sudden death with ventricular fibrillation in 1, and syncope in 1. Twenty-four patients had coexistent congenital anomalies. Only 9 patients underwent coronary intervention or/and surgery for CAFs. CONCLUSIONS: CAFs may cause trivial or lethal cardiac events, and may coexist with coronary lesion or congenital anomaly. Coronary to cardiac chamber or great vessel fistula and coronary-left ventricular multiple microfistulas have different morphologic and pathological phenomena.
Chiung-Zuan Chiu; Kou-Gi Shyu; Jun-Jack Cheng; Shen-Chang Lin; Shih-Huang Lee; Huei-Fong Hung; Jer-Young Liou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  72     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-25     Completed Date:  2008-10-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1242-8     Citation Subset:  IM    
School of Medicine, Fu-Jen Catholic University, and Division of Cardiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Aged, 80 and over
Arterio-Arterial Fistula / complications,  mortality,  radiography,  therapy
Coronary Angiography*
Coronary Artery Disease / complications
Coronary Vessel Anomalies* / complications,  mortality,  radiography,  therapy
Exercise Test
Heart Defects, Congenital / complications
Heart Diseases* / complications,  mortality,  radiography,  therapy
Middle Aged
Pulmonary Artery / abnormalities*,  radiography
Retrospective Studies
Severity of Illness Index
Vascular Fistula* / complications,  mortality,  radiography,  therapy

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