Said SA. Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience. World J Cardiol 2011; 3(8): 267-277 [PMID: 21876777 DOI: 10.4330/wjc.v3.i8.267]
Corresponding Author of This Article
Salah AM Said, MD, PhD, FESC, Department of Cardiology, Hospital Group Twente, Location Hengelo, Geerdinksweg 141, 7555 DL Hengelo, The Netherlands. samsaid@home.nl
Article-Type of This Article
Brief Article
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World J Cardiol. Aug 26, 2011; 3(8): 267-277 Published online Aug 26, 2011. doi: 10.4330/wjc.v3.i8.267
Table 1 Origin, termination, pathway and management of unilateral fistulas in adult patients with congenital coronary artery fistulas (n = 243)
Origin
LMT (n = 17) (7%)
LAD (n = 102) (42%)
Cx (n = 48) (20%)
RCA (n = 76) (31%)
Termination
PA
47%
75%
23%
16%
RA/CS
29%
7%
52%
37%
RV
6%
9%
4%
25%
SVC
12%
none
6%
5%
LV
none
3%
4%
12%
Aneurysm
18%
7%
17%
17%
Management
SL
47%
63%
52%
54%
CMM
41%
13%
31%
17%
PTE
12%
24%
17%
29%
Table 2 Comparison between unilateral, bilateral and multilateral fistulas related to site of origin, aneurysmal formation, mode of termination and management
Table 3 Distribution of origin of bilateral fistulas in adult patients n (%)
Bilateral fistulas
n = 55
LMT-LAD
3 (5)
LMT-RCA
2 (4)
LAD-RSV
3 (5)
LAD-Cx
1 (2)
LCA-RCA
2 (4)
RCA-LAD
31 (56)
RCA-Cx
8 (15)
RSV-Cx
1 (2)
RCA-D
3 (5)
RCA-im
1 (2)
Table 4 Comparison of demographic data, major fistula characteristics and fistula-related complications between coronary-cameral fistulas and coronary-vascular fistulas n (%)
CCFs (n = 135) (44%)
CVFs (n = 169) (56%)
P value
Mean age (range, yr)
46.2 (18-85)
55.6 (18-86)
0.000
Female gender
68 (50.4)
93 (55)
NS
Aneurysm
24 (18.2)
19 (11.2)
NS
MI
None
5 (3)
0.042
IE
11 (8)
None
0.000
PE
4 (2.9)
4 (1.8)
NS
Abnormal chest X-ray
3 (2)
8 (5)
NS
Origin from LMT and LAD
33 (24.1)
94 (55.6)
0.000
Fistulas having multiple origins (bilateral and multilateral)
17 (13)
44 (26)
0.003
Table 5 Fistula characteristics and fistula-related major complication in relation to demographic data
Age (yr), mean (range)
Female gender (%)
Origin of fistulas
Unilateral
LMT
50.4 (21-74)
47
LAD
55.6 (18-86)
51
Cx
51.4 (21-82)
52
RCA
44.9 (18-78)
53
Bilateral
57.4 (24-83)
60
Multilateral
58.0 (38-79)
67
Clinical presentation
CHF
60.6 (27-86)
70
IE
41.8 (22-65)
36
MI
58.0 (44-78)
33
Citation: Said SA. Current characteristics of congenital coronary artery fistulas in adults: A decade of global experience. World J Cardiol 2011; 3(8): 267-277