Coronary artery fistulae (CAF) are classified as abnormalities of a chamber of the heart (coronary-cameral fistula) or any segment of the. Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these. Coronary artery fistulas: clinical and therapeutic considerations. Coronary artery to pulmonary artery fistulae with multiple aneurysms: radiological features on dual-source slice . MDCT in the Evaluation of Coronary Cameral Fistula.

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Aortic valve replacement; CABG: COMMENTS Congenital coronary cameral fistulas encompass a group of cpronary macro small or large or multiple micro coronary cameral communications that are increasingly recognized due to sophistication and wide spread application of non-invasive and invasive angiographic imaging modalities[ 103036 ].

Case Reports in Cardiology

CASE REPORT A year-old non-smoker, male, with no significant past medical history, presented to the outpatient clinic of ocronary hospital with progressive dyspnea on exertion and anginal chest pain for one year. Mitral valve plasty; MVR: Panel B Right anterior oblique view of the left coronary artery demonstrating direct communication of the first diagonal with the left ventricular cavity.

The echocardiographic appearances of coronary fistulae may cause diagnostic confusion, particularly in the presence of myocardial hypertrophy and trabeculation. A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina. We here present a rare case of symptomatic CCF diagnosed by electrocardiogram ECG -gated multidetector computed tomography MDCT with resolution of the symptoms following successful repair.

Apical hypertrophic myocardiopathy and multiple fistulae between the coronary vessels and the left ventricle. The trabeculated appearance of the LV on transthoracic echocardiography in this case raised the suspicion of left ventricular non-compaction; however, inspection of the colour Doppler cmaeral clearly revealed a sustained flow of blood from the epicardial surface to the LV cavity throughout diastole fistjla suggestive of a coronary fistula.


Within the entity of CCFs, each subtype has its own specific characteristics such fisstula origin, termination of fistulas and treatment options.

Coronary–cameral fistula

Sign In or Create an Account. Chronic obstructive pulmonary disease; Cx: Congenital coronary cameral fistulas vary widely in their clinical presentation.

Coronary-cameral fistula with angina pectoris. Multiple coronary to left ventricular fistulae. Abstract This is a case series and review of the literature adding 11 new cases. The majority of the fistulas have a congenital origin.

Support Center Support Center. A diagnosis of multiple, diffuse coronary-left ventricular fistulae predominantly of a large diagonal branch of the left anterior descending artery was made at coronary angiography. Author information Copyright and License coonary Disclaimer.

In this case, the diagnosis was established by conventional coronary angiography, though the coronary anatomy may alternatively be delineated using computed tomography coronary angiography.

Published on behalf of the European Society of Cardiology. Autopsy findings Autopsy of patients with congenital multilateral MMFs to both ventricles depicted insignificant atherosclerotic coronary artery disease, cardiac dilatation and hypertrophy, and dilated coronary arteries with histologically, numerous small vessels of various diameters across the myocardium with patchy subendocardial fibrosis[ 5152 ].

Mitral valve replacement; N: It was observed that the presence of CCFs predisposed to the development of infective endocarditis as compared to the patients with CVFs. Footnotes Source of Support: Solitary macro-fistulas CCFs [ 1133 – 35 ]: Percutaneous coronary intervention; PAF: A potential complication of endomyocardial biopsy.

Bilateral fistulas were seen in 6 and unilateral fistulas in 5 patients. A 57 year old male smoker, with a long history of hypertension, presented with angina. Table 1 Data of adult patients with congenital coronary artery-ventricular multiple micro-fistulas and solitary macro fistulas.


Left coronary artery; LV: Non-compaction cardiomyopathy with diffuse left coronary artery fistulae as a rare cause of congestive heart failure. In our case, the patient had a fistula connecting left anterior descending artery and first obtuse marginal artery to left ventricle that was hemodynamically significant with decreased ejection fraction and causing symptoms of congestive heart failure at the age of Coronary artery anomalies occur in less than one percent of the general population [ 1 ].

Nil Conflict of Interest: The resultant physiologic derangement depends upon the site of origin and termination of the fistula and the size of the connection. Eur J Cardiothorac Surg. Imaging with colour flow Doppler demonstrated blood flow from the epicardial surface into the left ventricular cavity through the hypertrophied segment of myocardium during diastole. Is there any new trend? Multiple coronary-left ventricular fistulae associated with apical hypertrophic cardiomyopathy: These fistulae may cause angina by coronary steal phenomenon and diastolic overload.

Sagittal view of MSCT showing coronary fistula terminating in the left ventricular cavity. Coronary artery-ventricular multiple micro-fistulas; MR: While congenital MMFs are generally treated conservatively, congenital solitary CCFs may undergo percutaneous occlusion or surgical ligation in the presence of substantial significant shunts.

View large Download slide. A case of coronary cameral fistula Gareth J.