Article ; Online: Diagnostic and therapeutic approach of congenital solitary coronary artery fistulas in adults: Dutch case series and review of literature.
2011 Volume 19, Issue 4, Page(s) 183–191
Abstract: ... and applied therapeutic approaches.: Materials and methods: Five Dutch patients were found to have ... Background: Coronary artery fistulas (CAFs) are infrequent anomalies, coincidentally detected ... multidetector computed tomography, and CAG. Four fistulas were unilateral and one was bilateral; five originated from the left and ...
| Abstract | Background: Coronary artery fistulas (CAFs) are infrequent anomalies, coincidentally detected during coronary angiography (CAG). Aim: To elucidate the currently used diagnostic imaging modalities and applied therapeutic approaches. Materials and methods: Five Dutch patients were found to have CAFs. A total of 170 reviewed subjects were subdivided into two comparable groups of 85 each, treated with either percutaneous 'therapeutic' embolisation (PTE group) or surgical ligation (SL group). Results: In our series, the fistulas were visualised with several diagnostic imaging tests using echocardiography, multidetector computed tomography, and CAG. Four fistulas were unilateral and one was bilateral; five originated from the left and one originated from the right coronary artery. Among the reviewed subjects, high success rates were found in both treatment groups (SL: 97% and PTE: 93%). Associated congenital or acquired cardiovascular disorders were frequently present in the SL group (23%). Bilateral fistulas were present in 11% of the SL group versus 1% of the PTE group. The fistula was ligated surgically in one and abolished percutaneously in another. Medical treatment including metoprolol was conducted in two, and watchful waiting follow-up was performed in one. Conclusions: Several diagnostic imaging techniques are available for assessment of the anatomical and functional characteristics of CAFs. |
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| Language | English | |||||
| Publishing date | 2011-10-22 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2211468-3 | |||||
| ISSN | 1876-6250 ; 1568-5888 ; 0929-7456 | |||||
| ISSN (online) | 1876-6250 | |||||
| ISSN | 1568-5888 ; 0929-7456 | |||||
| DOI | 10.1007/s12471-011-0088-2 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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