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Case Reports
. 2024 Mar 26;3(3Part B):101300.
doi: 10.1016/j.jscai.2024.101300. eCollection 2024 Mar.

Surgical Ligation of a Large Coronary-Cameral Fistula Suspected of Causing Coronary Steal Phenomenon

Michael Tierney  1   2 , Edward Danson  1   2   3 , Mohammad Azari  1   3 , Barry Elison  1   2 , Astin Lee  1   2   3
Affiliations
Case Reports

Surgical Ligation of a Large Coronary-Cameral Fistula Suspected of Causing Coronary Steal Phenomenon

Michael Tierney et al. J Soc Cardiovasc Angiogr Interv. .
No abstract available

Keywords: coronary artery fistula; decision-making; fistula ligation.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
(A) Coronary angiogram: right coronary artery-right ventricle (RCA-RV) conus artery coronary-cameral fistula. Moderate stenoses in proximal to mid RCA were demonstrated. (B) Coronary angiogram: septal artery to right ventricle coronary-cameral fistula and severe proximal left anterior descending artery (LAD) stenosis. (C) Computed tomography coronary angiography (CTCA) demonstrating the origin of the RCA-RV conus fistula and dense calcification of the proximal to mid-right coronary artery. (D) CTCA contrast blush confirming right ventricular termination of RCA-RV fistula. (E) CTCA 3D reconstruction of the RCA-RV coronary-cameral fistula. (F) Surgical image of the RCA-RV fistula.
Supplemental Figure S1
Supplemental Figure S1
(A) Preoperative ECG – inferior T wave inversion. (B) Postoperative ECG–resolution of inferior T wave inversion with new benign anterolateral repolarization abnormalities (confirmed patent LIMA-LAD on CTCA).
Supplemental Figure S1
Supplemental Figure S1
(A) Preoperative ECG – inferior T wave inversion. (B) Postoperative ECG–resolution of inferior T wave inversion with new benign anterolateral repolarization abnormalities (confirmed patent LIMA-LAD on CTCA).
Supplemental Figure S2
Supplemental Figure S2
(A) Surgical image demonstrating ligation of the RCA-RV fistula (B) Confirmation of successful ligation on epicardial color Doppler ultrasound.
See this image and copyright information in PMC

References

    1. Sakakibara S., Yokoyama M., Takao A., Nogi M., Gomi H. Coronary arteriovenous fistula. Nine operator cases. Am Heart J. 1966;72(3):307–314. doi: 10.1016/s0002-8703(66)80004-2. - DOI - PubMed
    1. Lim J.J., Jung J.I., Lee B.Y., Lee H.G. Prevalence and types of coronary artery fistulas detected with coronary CT angiography. AJR Am J Roentgenol. 2014;203(3):W237–W243. doi: 10.2214/AJR.13.11613. - DOI - PubMed
    1. Stout K., Daniels C., Aboulhosn J., et al. 2018 AHA/ACC guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice guidelines. Circulation. 2019;139(14):e698–e800. doi: 10.1161/CIR.0000000000000603. - DOI - PubMed
    1. Crescenzi G., Scandroglio A.M., Pappalardo F., et al. ECG changes after CABG: the role of the surgical technique. J Cardiothorac Vasc Anesth. 2004;18(1):38–42. doi: 10.1053/j.jvca.2003.10.008. - DOI - PubMed

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