CORONARY ARTERY FISTULAR: A CASE REPORT AND LITERATURE REVIEW

Văn Đàn Nguyễn1, Hữu Lư Phạm1,
1 GERMANY FRIENDSHIP HOSPITAL

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Abstract

Objectives: To report the clinical case of a patient with coronary artery fistula who performed successfully fistula ligation without extracorporeal circulation and reView the literature. Methods: Describe a rare clinical case. Result: A 64-year-old female patient with a history of hypertension was admitted to the hospital because of chest pain and palpitations. The patient underwent echocardiography and coronary angiography and found that there was a left coronary artery leak into the pulmonary artery trunk, with moderate flow. The patient was indicated to close the fistula by interVention but failed. The fistula ligation was performed successfully through a postoperatiVe            hemodynamic           stability, electrocardiogram monitoring showed no ST changes, postoperatiVe coronary angiography, and no leakage. Conclusion: Coronary artery fistula is rare, the diagnosis is confirmed by multi-coronary computed tomography coronary angiography or percutaneous coronary angiography, and the treatment can be done by interVentional or surgical with good results.

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References

1. Dadkhah-Tirani H, Salari A, Shafighnia S, Hosseini SF, Naghdipoor M. Coronary artery to pulmonary artery fistula. Am J Case Rep. 2013;14:486-488. doi:10.12659/AJCR.889416
2. Lim JJ, Jung JI, Lee BY, Lee HG. PreValence and types of coronary artery fistulas detected with coronary CT angiography. AJR Am J Roentgenol. 2014;203(3):W237-243. doi:10.2214/AJR.13.11613
3. Al-Hijji M, El Sabbagh A, El Hajj S, et al. Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure. JACC CardioVasc InterV. 2021;14(13):1393-1406. doi:10.1016/j.jcin.2021.02.044
4. Rao SS, Agasthi P. Coronary Artery Fistula. In: StatPearls. StatPearls Publishing; 2023. Accessed April 24, 2023.
http://www.ncbi.nlm.nih.goV/books/NBK559191/
5. Reddy G, Davies JE, Holmes DR, Schaff HV, Singh SP, Alli OO. Coronary Artery Fistulae. Circ CardioVasc InterV. 2015;8(11):e003062. doi:10.1161/CIRCINTERVENTIONS.115.003062
6.
Shyam Sunder KR, Balakrishnan KG, Tharakan JA, et al. Coronary artery fistula in children and adults: a reView of 25 cases with long-term obserVations. Int J Cardiol. 1997; 58 (1):47-53. doi:10.1016/S0167-5273(96)02792-1
7. Li X, Song L, Xu M, Zhang G, Jin J. Long-Term Follow-Up of Pediatric Patients After Congenital Coronary Artery Fistula Closure. Pediatr Cardiol. 2020;41(7):1346-1353. doi:10.1007/s00246-020- 02379-y
8. El-Sabawi B, Al-Hijji MA, Eleid MF, et al. Transcatheter closure of coronary artery fistula: A 21-year experience. Catheter CardioVasc InterV. 2020;96(2):311-319. doi:10.1002/ccd.28721
9. Ngọc TL, Công HN, Quang HĐ. PHẪU THUẬT ĐÓNG ĐƯỜNG RÒ CỦA ĐỘNG MẠCH VÀNH PHẢI VÀO THẤT TRÁI. Tạp Chí Phẫu Thuật Tim Mạch Và Lồng Ngực Việt Nam. 2014;9:34-40. doi:10.47972/Vjcts.V9i.288
10. Said SM, Burkhart HM, Schaff HV, et al. Late outcome of repair of congenital coronary artery fistulas—a word of caution. J Thorac CardioVasc Surg. 2013; 145(2):455-460. doi:10.1016/ j.jtcVs.2012.11.028