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

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

    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

    Fingerprint

    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

    Assennato, P., Novo, S., Paleologo, C., Buccheri, D., Piraino, D., Dendramis, G., ... Carita', P. (2015). Coronary artery fistulas as a cause of angina: How to manage these patients? Cardiovascular Revascularization Medicine, 16, 306-309.

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

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

    Risultato della ricerca: Article

    Assennato, P, Novo, S, Paleologo, C, Buccheri, D, Piraino, D, Dendramis, G, Chirco, PR & Carita', P 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 ; Paleologo, Claudia ; Buccheri, Dario ; Piraino, Davide ; Dendramis, Gregory ; Chirco, Paola Rosa ; Carita', Patrizia. / 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.",
    keywords = "Cardiology and Cardiovascular Medicine, Chest pain, Coronary artery fistulas, Diagnosis, Treatment",
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    AU - Novo, Salvatore

    AU - Paleologo, Claudia

    AU - Buccheri, Dario

    AU - Piraino, Davide

    AU - Dendramis, Gregory

    AU - Chirco, Paola Rosa

    AU - Carita', Patrizia

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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.

    KW - Cardiology and Cardiovascular Medicine

    KW - Chest pain

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    KW - Treatment

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