[Coronary fistula in adults. Review with reference to personal experience].
A consecutive series of 5384 coronary arteriograms was retrospectively investigated for the presence of coronary artery fistulas. 15 fistulas were found in 14 patients, corresponding to a prevalence of 0.26%. All the fistulas were small and hemodynamically insignificant. There were no fistula-associated complications. Most of the fistulas were discovered as incidental findings during an otherwise indicated coronary angiography (8 patients). In the 6 patients without other cardiac pathology, the investigation was performed because of a systolo-diastolic murmur in 2 cases, myocardial ischemia caused by a "coronary-steal phenomenon" in 2 cases, and chest pain in 2 cases. With the exception of a fistula between two coronary arteries and a postoperative fistula, all of them originated from the proximal part of the coronary arteries (9 from the right, 6 from the left). Most of the fistulas drained into the main pulmonary artery (73%).
Zanchin
L
L
Departement Medizin, Universitätsklinik, Inselspital Bern.
Salzmann
C
C
Meier
B
B
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000150:complications; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies
Koronarfisteln beim Erwachsenen. Ubersichtsarbeit unter Einbezug eigener Erfahrungen.