Coronary artery fistulas as a cause of angina: How to manage these patients?

Pasquale Assennato, Salvatore Novo, Davide Piraino, Patrizia Carita', Gregory Dendramis, Dario Buccheri, Claudia Paleologo, Paola Rosa Chirco, Pasquale Assennato, Giuseppe Andolina, Salvatore Novo, Patrizia Carità, Davide Piraino, Gregory Dendramis, Claudia Paleologo, Paola Rosa Chirco, Dario Buccheri

Risultato della ricerca: Article

3 Citazioni (Scopus)

Abstract

Coronary artery fistulas represent the most common hemodynamically significant congenital defect of the coronary arteries and the clinical presentation is mainly dependent on the severity of the left-to-right shunt. We describe a case of a 55-year-old man with history of chest pain and without history of previous significant chest wall trauma or any invasive cardiac procedures. A coronary multislice computed tomography showed two large coronary fistulas arising from the left anterior descending coronary artery and ending in an angiomatous plexus draining into the common pulmonary trunk. Coronary angiography confirmed the CT finding and showed a third fistulous communication arising from the sinus node artery.Although coronary fistulas are infrequent, they are becoming increasingly important because their management and treatment could prevent serious complications. The latest guidelines of the American College of Cardiology/American Heart Association indicate as Class I recommendation the percutaneous or surgical closure for large fistulas regardless of symptoms.In this manuscript, we provide a detailed review of the literature on this topic, focusing on the clinical management of these patients.
Lingua originaleEnglish
pagine (da-a)306-309
Numero di pagine4
RivistaCardiovascular Revascularization Medicine
Volume16
Stato di pubblicazionePublished - 2015

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Fistula
Coronary Vessels
Multidetector Computed Tomography
Thoracic Wall
Coronary Angiography
Chest Pain
Communication
Guidelines
Lung
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cita questo

Coronary artery fistulas as a cause of angina: How to manage these patients? / Assennato, Pasquale; Novo, Salvatore; Piraino, Davide; Carita', Patrizia; Dendramis, Gregory; Buccheri, Dario; Paleologo, Claudia; Chirco, Paola Rosa; Assennato, Pasquale; Andolina, Giuseppe; Novo, Salvatore; Carità, Patrizia; Piraino, Davide; Dendramis, Gregory; Paleologo, Claudia; Chirco, Paola Rosa; Buccheri, Dario.

In: Cardiovascular Revascularization Medicine, Vol. 16, 2015, pag. 306-309.

Risultato della ricerca: Article

Assennato, P, Novo, S, Piraino, D, Carita', P, Dendramis, G, Buccheri, D, Paleologo, C, Chirco, PR, Assennato, P, Andolina, G, Novo, S, Carità, P, Piraino, D, Dendramis, G, Paleologo, C, Chirco, PR & Buccheri, D 2015, 'Coronary artery fistulas as a cause of angina: How to manage these patients?', Cardiovascular Revascularization Medicine, vol. 16, pagg. 306-309.
Assennato, Pasquale ; Novo, Salvatore ; Piraino, Davide ; Carita', Patrizia ; Dendramis, Gregory ; Buccheri, Dario ; Paleologo, Claudia ; Chirco, Paola Rosa ; Assennato, Pasquale ; Andolina, Giuseppe ; Novo, Salvatore ; Carità, Patrizia ; Piraino, Davide ; Dendramis, Gregory ; Paleologo, Claudia ; Chirco, Paola Rosa ; Buccheri, Dario. / Coronary artery fistulas as a cause of angina: How to manage these patients?. In: Cardiovascular Revascularization Medicine. 2015 ; Vol. 16. pagg. 306-309.
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abstract = "Coronary artery fistulas represent the most common hemodynamically significant congenital defect of the coronary arteries and the clinical presentation is mainly dependent on the severity of the left-to-right shunt. We describe a case of a 55-year-old man with history of chest pain and without history of previous significant chest wall trauma or any invasive cardiac procedures. A coronary multislice computed tomography showed two large coronary fistulas arising from the left anterior descending coronary artery and ending in an angiomatous plexus draining into the common pulmonary trunk. Coronary angiography confirmed the CT finding and showed a third fistulous communication arising from the sinus node artery.Although coronary fistulas are infrequent, they are becoming increasingly important because their management and treatment could prevent serious complications. The latest guidelines of the American College of Cardiology/American Heart Association indicate as Class I recommendation the percutaneous or surgical closure for large fistulas regardless of symptoms.In this manuscript, we provide a detailed review of the literature on this topic, focusing on the clinical management of these patients.",
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AU - Assennato, Pasquale

AU - Novo, Salvatore

AU - Piraino, Davide

AU - Carita', Patrizia

AU - Dendramis, Gregory

AU - Buccheri, Dario

AU - Paleologo, Claudia

AU - Chirco, Paola Rosa

AU - Assennato, Pasquale

AU - Andolina, Giuseppe

AU - Novo, Salvatore

AU - Carità, Patrizia

AU - Piraino, Davide

AU - Dendramis, Gregory

AU - Paleologo, Claudia

AU - Chirco, Paola Rosa

AU - Buccheri, Dario

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AB - Coronary artery fistulas represent the most common hemodynamically significant congenital defect of the coronary arteries and the clinical presentation is mainly dependent on the severity of the left-to-right shunt. We describe a case of a 55-year-old man with history of chest pain and without history of previous significant chest wall trauma or any invasive cardiac procedures. A coronary multislice computed tomography showed two large coronary fistulas arising from the left anterior descending coronary artery and ending in an angiomatous plexus draining into the common pulmonary trunk. Coronary angiography confirmed the CT finding and showed a third fistulous communication arising from the sinus node artery.Although coronary fistulas are infrequent, they are becoming increasingly important because their management and treatment could prevent serious complications. The latest guidelines of the American College of Cardiology/American Heart Association indicate as Class I recommendation the percutaneous or surgical closure for large fistulas regardless of symptoms.In this manuscript, we provide a detailed review of the literature on this topic, focusing on the clinical management of these patients.

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