[Coronary-pulmonary arterial fistula in the adult: report of 6 cases and review of the literature].
Six new patients and 33 previously reported with coronary-to-pulmonary artery fistula were reviewed. The mean age at the time of diagnosis was 51 years. A male predominance was found (65%). Angina was the most common symptom. The artery mostly involved was the left anterior descending coronary artery and the fistula drained more often to the main pulmonary artery. The left-to-right shunt is small in the majority of patients and the associated significant coronary artery disease was detected in 18% of cases. Good results of surgical closure of the fistula are usually obtained. An alternative to surgical treatment is percutaneous transcatheter embolization of coronary artery fistulas.
Cherif
Ali
A
Service des Explorations Fonctionnelles Cardiologiques, Hôpital la Rabta, Tunis.
Farhati
Abdeljelil
A
Fajraoui
Mohamed
M
Boussaada
Rafik
R
Hmam
Mohamed
M
Ezzar
Taoufik
T
Mourali
Sami
S
Mechmeche
Rachid
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000209:etiology; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000473:pathology* / Q000601:surgery; D003324:Coronary Artery Disease / Q000473:pathology*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology*; D012737:Sex Factors; D016896:Treatment Outcome