RESUMO
Coronary artery fistulas have been described in patients after heart transplantation more often than in the normal population. We reviewed our centre's database between 2008 and 2020. Thirty patients had coronary angiography and 13 showed non-cameral coronary artery fistulas in their first coronary angiography. Distribution, degree and evolution of the fistulas and characteristics of transplant procedure, patient and immunosuppressive treatments were analysed.
Assuntos
Doença da Artéria Coronariana , Anomalias dos Vasos Coronários , Fístula , Transplante de Coração , Criança , Angiografia Coronária , Doença da Artéria Coronariana/diagnóstico , Doença da Artéria Coronariana/etiologia , Anomalias dos Vasos Coronários/diagnóstico por imagem , Transplante de Coração/efeitos adversos , HumanosRESUMO
We report an asymptomatic 5-year-old boy with coronary artery fistulas to pulmonary parenchyma and to systemic thoracic arteries, like a "natural bypass", detected during a coronary angiography performed 11 months after his heart transplant. One year later, a new coronary angiography showed no fistula. Some changes to immunosuppressive therapy during this time could be related to this evolution.
Assuntos
Doença da Artéria Coronariana/etiologia , Everolimo/efeitos adversos , Fístula/etiologia , Imunossupressores/efeitos adversos , Pré-Escolar , Angiografia Coronária , Doença da Artéria Coronariana/diagnóstico por imagem , Fístula/diagnóstico por imagem , Transplante de Coração , Humanos , MasculinoRESUMO
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