Abstract:
BACKGROUND:Congenital coronary artery fistula (CAF) is a very rare cardiovascular anomaly and only 400 cases have been reported. The purpose of this study was to analyse the experience of surgical treatments in CAF and evaluate the surgical indications, techniques and long-term results. METHODS:A retrospective study reviewing 20,000 cardiovascular surgical cases from 1978 to 1993 was carried out, from which 14 patients with CAF were identified and diagnosis was confirmed by both coronary angiography (CAG) and echocardiography. Twelve patients had heart-related symptoms. CAG revealed that fistulous channels arose from the right coronary artery (RCA) in seven patients, and from the left coronary artery (LCA) in six patients. One patient had multiple fistulae, from both RCA and LCA. The surgical managements and late follow-up were assessed. RESULTS:Surgery was performed on 13 patients; one had died before surgery. Cardiopulmonary bypass (CPB) was performed in 11 patients. The presence of coronary aneurysm was treated by reduction plasty of the aneurysm (four patients). Other procedures were coronary artery bypass grafting (CABG; four patients), ventricular septal defect (VSD) and patent ductus arteriosus (PDA) closure (one patient), and one patient had mitral valve replacement. The mean follow-up time was 7.2 years and all symptomatic patients improved their New York Heart Association (NYHA) functional class (average 1.2 classes). Although there were no surgical deaths in our group, one late death (6 months after surgery) was caused by acute myocardial infarction; this resulted in an annual mortality rate of 1%. CONCLUSIONS:Surgical closure of CAF can be recommended because it is a low-risk procedure and leads to good long-term results. The problems with myocardial protection, residual fistula prevention and surgical techniques must be emphasized. For these purposes, special surgical techniques that have been introduced are described.
journal_name
Coron Artery Disjournal_title
Coronary artery diseaseauthors
Chen Y,Belboul A,Roberts Ddoi
10.1097/00019501-199412000-00006subject
Has Abstractpub_date
1994-12-01 00:00:00pages
995-1000issue
12eissn
0954-6928issn
1473-5830journal_volume
5pub_type
杂志文章abstract::The patient population with the need for oral anticoagulation to reduce stroke risk associated with atrial fibrillation (AF) and dual antiplatelet therapy to prevent stent thrombosis and myocardial infarction after percutaneous coronary intervention is increasing. However, patients treated with a triple therapy consis...
journal_title:Coronary artery disease
pub_type: 杂志文章,评审
doi:10.1097/MCA.0000000000000549
更新日期:2017-12-01 00:00:00
abstract:AIM:We evaluated the accuracy of multidetector computed tomography in detecting coronary artery disease and how it could change the indication to coronary angiography in patients with suspected cardiac chest pain. METHODS AND RESULTS:We enrolled 142 consecutive patients who had already performed an exercise electrocar...
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/MCA.0000000000000994
更新日期:2020-11-20 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
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journal_title:Coronary artery disease
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doi:10.1097/00019501-200202000-00008
更新日期:2002-02-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/00019501-200302000-00010
更新日期:2003-02-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/00019501-200103000-00005
更新日期:2001-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-12-01 00:00:00
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journal_title:Coronary artery disease
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更新日期:2021-01-18 00:00:00
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journal_title:Coronary artery disease
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更新日期:2010-05-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 临床试验,杂志文章
doi:
更新日期:1994-11-01 00:00:00
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doi:10.1097/MCA.0000000000000947
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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journal_title:Coronary artery disease
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更新日期:2020-05-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-09-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2005-11-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章,评审
doi:10.1097/00019501-199909000-00008
更新日期:1999-09-01 00:00:00
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doi:10.1097/MCA.0b013e328363abbd
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journal_title:Coronary artery disease
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doi:10.1097/MCA.0000000000000283
更新日期:2015-11-01 00:00:00
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更新日期:2013-05-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章,多中心研究
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更新日期:2013-01-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/MCA.0b013e32834df573
更新日期:2012-01-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 临床试验,杂志文章
doi:10.1097/MCA.0b013e3280144be1
更新日期:2007-05-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/00019501-200505000-00010
更新日期:2005-05-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章,多中心研究
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更新日期:2017-08-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/00019501-199304000-00009
更新日期:1993-04-01 00:00:00
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journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/MCA.0b013e3282f0a2a7
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Coronary heart disease is mainly caused by the effects of obstruction to blood flow in the coronary arteries from discrete mural lesions that encroach into the lumen and usually occur in arteries that are involved by atherosclerosis. Even though the level of certain lipoproteins is indisputably related to th...
journal_title:Coronary artery disease
pub_type: 杂志文章
doi:10.1097/00019501-199303000-00006
更新日期:1993-03-01 00:00:00