| Gender-related differences in octogenarians with congenital coronary artery fistula: a report of two cases and a review. | |
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MedLine Citation:
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PMID: 21960176 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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AIM: To highlight gender-related differences in octogenarians with a congenital coronary artery fistula (CAF). MATERIALS AND METHODS: We present two elderly female patients with a congenital fistula, a septuagenarian and a nonagenarian, and review the world literature between 1954-2010. RESULTS: The septuagenarian patient presented with easy fatigability and the nonagenarian patient with acute myocardial infarction contralaterally to the fistula. Coronary angiography (CAG) demonstrated a coronary-pulmonary artery fistula (CPF). The nonagenarian patient underwent percutaneous coronary intervention of the right coronary artery. CAG revealed a CPF associated with a huge multiple aneurysmal formation. Data from 57 mainly symptomatic patients with a mean age of 75.3 years (range 70-87 years) were collected. The cohort was subdivided into female (mean age 84.3 years) and male (mean age 75.2 years) subgroups and compared with each other. Multi-origin (bilateral and multilateral) was prevalent in females, 40% versus 12% in males. Aneurysmal formation was found in females and males in 40% and 18%, respectively. Ethnicity was 65% Caucasian and 35% Asian. Multi-origin fistulas were prevalent in the Asian (45%) compared with the Caucasian (11%) subset. CONCLUSIONS: A septuagenarian and a nonagenarian female patient with congenital CAF are presented. On reviewing the literature, important differences were found between elderly females and males with congenital CAF. |
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Authors:
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S A M Said; E M Koomen; J S Bos |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation Volume: 19 ISSN: 1876-6250 ISO Abbreviation: Neth Heart J Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-22 Completed Date: 2011-11-23 Revised Date: 2011-12-21 |
Medline Journal Info:
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Nlm Unique ID: 101095458 Medline TA: Neth Heart J Country: Netherlands |
Other Details:
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Languages: eng Pagination: 523-30 Citation Subset: - |
Affiliation:
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Department of Cardiology, ZGT location Hengelo, Hengelo, the Netherlands, samsaid@home.nl. |
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