Fistula coronaria congénita: presentación de siete casos y revisión de la literatura / Congenital coronary fistula: clinical presentation in 7 cases and literature review
Arch. cardiol. Méx
;
79(2): 135-139, abr.-jun. 2009. tab, ilus
Article
in Spanish
| LILACS
| ID: lil-565719
ABSTRACT
Congenital coronary artery fistulas are uncommon anomalies, however themselves may resemble the whole spectrum of cardiac manifestations. Clinical presentations vary considerably from adults to children. MATERIAL AND METHODS:
patients with coronary artery fistula diagnosed by selective coronariography in the period from 2000 to 2007 were included.RESULTS:
7 cases were found, 4 children, mean age 6.5 years, and 3 adults, mean age 25.6 years. The fistulae originate from the left coronary artery in 3 children, 2 connect to the pulmonary artery an one to the right atrium, in one child the fistula originated from the right coronary artery and terminated at the right ventricle. In the 3 adult patients, the fistula originated from the right ventricle, two connected to the right ventricle and one to the coronary sinus. Two children were operated on successfully and are asymptomatic 1 and 4 years later. In an adult patient with surgical ligation was performed, 4 weeks later developed an uncomplicated myocardial infarction. We reviewed the literature available and were compared with our cases.CONCLUSIONS:
The clinical manifestations and hemodynamic features differ in childhood and adulthood. Coronary angiography is the primary diagnostic tool. Surgical treatment has low mortality and morbidity.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Vascular Fistula
/
Coronary Vessel Anomalies
Limits:
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2009
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX
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