title: Coronary-cameral fistulas in adults: Acquired types (second of two parts).
abstract: Acquired coronary artery fistulas (CCFs) are infrequently detected during conventional coronary angiography. To delineate the characteristics of congenital (first part) and acquired (second part) CCFs in adults, a PubMed search was conducted for papers dealing with congenital or acquired CCFs. None of the publications describing patients with coronary-vascular fistulas were included. Papers dealing with pediatric subjects were excluded. From the world literature, a total of 243 adult patients were selected who had congenital (n = 159/243, 65%) and acquired (n = 84/243, 35%) CCFs. Among the acquired types (n = 72, 85.7%) were traumatic (iatrogenic (n = 65/72, 90%), accidental (n = 7/72, 10%) and (n = 12, 14.3%) spontaneously developing in relation to severe coronary atherosclerosis or myocardial infarction. A high incidence of spontaneous resolution of iatrogenic CCFs resulting from endomyocardial biopsy or following post-septal myectomy was reported. Spontaneous CCFs associated with myocardial ischemia or infarction resolved completely in 8% of the subjects. Early surgical intervention was the treatment of choice in acquired traumatic accidental CCFs. The congenital types are addressed in a previous issue of this journal (first part). In this review (second of two parts, part II), we describe the acquired coronary-cameral fistulas.
authors.affiliation: Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The Netherlands.
authors.forename: Salah Am
authors.initials: SA
authors.lastname: Said
authors.affiliation: Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The Netherlands.
authors.forename: Rikke Hm
authors.initials: RH
authors.lastname: Schiphorst
authors.affiliation: Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The Netherlands.
authors.forename: Richard
authors.initials: R
authors.lastname: Derksen
authors.affiliation: Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The Netherlands.
authors.forename: Lodewijk J
authors.initials: LJ
authors.lastname: Wagenaar
keywords: Accidental coronary-cameral fistulas; Acquired coronary-cameral fistulas; Coronary angiography, Spontaneous resolution; Iatrogenic coronary-cameral fistulas; Spontaneous coronary-cameral fistulas; Surgical treatment