Coronary arterial fistulas in childhood

2000 ◽  
Vol 10 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Kin-tak Wong ◽  
Samuel Menahem
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Infective Endocarditis ◽  
Left Coronary Artery ◽  
Spontaneous Closure ◽  
Corrective Surgery ◽  
Exertional Dyspnoea ◽  
Cross Sectional ◽  
Catheter Closure ◽  
The Right

AbstractWe reviewed 16 patients with coronary arterial fistulas seen between 1976 and 1997, and aged 2 days to 16 years, with a median age of 3.2 years. Only four patients were symptomatic: two had heart failure, one had exertional dyspnoea, and one infective endocarditis. The fistulas originated from the right coronary artery in seven patients, from the left coronary artery in seven, from both coronary arteries in one patient, while the origin was not clearly defined in the final patient. Associated cardiac anomalies were discovered in six patients, with three of the fistulas being diagnosed at the same presentation. Cross-sectional echocardiography had revealed a dilated coronary artery in 7 out of 11 subjects. The ratio of pulmonary to systemic flows ranged between 0.9 to 3.0, with a median of 1.5. Ten patients were referred for corrective surgery without any mortality. Trans-catheter closure was successfully undertaken in one patient, while spontaneous closure of the fistula was noted in two patients. We conclude that coronary arterial fistulas, although rare and potentially serious, are generally treatable.

TAKAYASU'S DISEASE (PRIMARY AORTITIS): REPORT ON TWO CASES IN CHILDREN

PEDIATRICS ◽  
1966 ◽  
Vol 38 (4) ◽  
pp. 637-641
Author(s):  
Fabio Zerpa ◽  
Eduardo Hirschhaut ◽  
Alberto Ferrer ◽  
Miguel A. Capriles ◽  
Eloy Dubois
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Renal Disease ◽  
Arterial Hypertension ◽  
Left Coronary Artery ◽  
Unknown Origin ◽  
The Other ◽  
Pulseless Disease ◽  
Takayasu’S Disease ◽  
The Right

Pulseless disease is described in a child of 10 and one of 12 years old. A renal disease of unknown origin with hypoplasia of the right kidney and arterial hypertension was also found in one. The other had an anomaly of the left coronary artery and heart failure resistant to therapy. Few cases of pulseless disease in children have been reported.

scholarly journals P1486 An unexpected case of paediatric heart failure

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
P Theocharis ◽  
M L Morrison ◽  
N Storring ◽  
K Adhavaryu ◽  
S Jivanji ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Left Ventricular ◽  
Upper Respiratory Tract ◽  
Retrograde Filling ◽  
Upper Respiratory ◽  
The Moment ◽  
The Right ◽  
Good Flow

Abstract A 9-month-old male presented in heart failure with a 2-day history vomiting that followed a viral upper respiratory tract infection 10 days previously. Echocardiography demonstrated a normally connected heart with a severely dilated and poorly functioning left ventricle with bright mitral valve papillary muscles. It was difficult to demonstrate the origin of the left coronary artery and retrograde flow was seen in the vessel (Fig 1, Panel A). The right coronary artery appeared normal. A gated cardiac CT was performed and showed a normal right coronary origin and no clear connection of the LCA to Ao and there was suspicion of retrograde filling. Images of the left coronary origin did not show clear connection of the LCA to Ao (Fig 1, Panel B). As the case was extremely unusual coronary angiography was performed which confirmed the suspicion of a dominant right coronary system with collateral connection to the left coronary system and retrograde filling and no antegrade filling of the LCA from the Ao (Fig 1, Panel C). This was consistent with atresia of the left coronary ostium, which was confirmed at operation. The left coronary sinus was opened, as was the roof of the left coronary artery and an anastomosis was performed to aorta using an autologous patch. The post operative TOE showed good flow into the LCA (Fig 1, Panel D). There was good and quick post op clinical recovery but the left ventricular function remains still poor at the moment with slow recovery as expected. The cardiac function will be monitored echocardiographically and the reconstructed coronary artery with CT. Abstract P1486 Figure 1

MORPHOMETRIC ANATOMY AND INTRAORGAN TOPOGRAPHY OF THE CORONARY ORIFICES IN HEART OF ADULT HUMAN

2020 ◽  
pp. 40-47
Author(s):  
Андрей Аркадьевич Якимов ◽  
Евгения Германовна Дмитриева
Keyword(s):  
Coronary Artery ◽  
Blood Supply ◽  
Coronary Sinus ◽  
Left Coronary Artery ◽  
Rare Variants ◽  
Vertical Axis ◽  
Aortic Valves ◽  
Sinotubular Junction ◽  
Adult Human ◽  
The Right

Цель - выявить варианты строения и внутриорганной топографии устьев венечных артерий у взрослого человека при разных типах кровоснабжения желудочкового комплекса сердца. Материал и методы. На вскрытых через некоронарные синусы аорты 65 препаратах клапанов аорты взрослых людей изучили положение устьев венечных артерий, штангенциркулем измеряли минимальный и максимальный диаметры каждого устья, определяли их форму по соотношению диаметров. Результаты. Для устьев обеих артерий типичной была округлая, реже овальная форма. В большинстве случаев левая венечная артерия начиналась в центральной трети, правая - в центральной или задней трети «своего» синуса на уровне верхнего края полулунной заслонки или между ним и синотубулярным соединением. Локализация устьев в пределах синусов, на уровне синотубулярного соединения или выше него была редкой для обеих артерий. В 20 % случаев в правом синусе аорты спереди от устья правой венечной артерии имелось устье конусной артерии. Выводы. Типичные и редкие варианты формы правого и левого устьев, варианты их положения по вертикальной оси аорты одинаковы, варианты их положения по горизонтали различны. Зависимость вариантов формы и положения устьев от типа кровоснабжения желудочков сердца не выявлена. Objective - to reveal common and rare variants of the anatomy and intraorganic topography of the coronary orifices in normal hearts of adult human with regard to patterns of cardiac ventricular blood supply. Material and methods. On 65 specimens of aortic valves opened through non-coronary sinus, the minimal and maximal diameters of each orifice were measured with a caliper, the shape of the orifices was determined according to the ratio of the diameters, and the position of the orifices was studied. Results. The orifices of both right and left coronary arteries were mostly found to be round, less frequently oval. In most cases, the left coronary artery arose from the central third and the right artery arose from the central or posterior third of corresponding sinus at the level of the upper edge of the semilunar cusp or between the edge and the sinotubular junction. The localization of the arterial orifice within the sinuses at the level of sinotubular junction or above it was uncommon for the both arteries. In 20 % of cases, the conal artery arose with its own orifice in front of the mouth of the right coronary artery. Conclusions. Typical and rare shapes of the coronary orifices, variants of their position regarding to vertical axis of the aorta are the same, whereas variants of their position in horizontal axis are different. There is no relationship between variants of form of the orifices, position of the orifices and types of blood supply of heart ventricles.

scholarly journals Anomalous origin of the left coronary artery from the pulmonary trunk. Potential for false negative diagnosis with cross sectional echocardiography.

Heart ◽  
1984 ◽  
Vol 52 (3) ◽  
pp. 272-277 ◽  
Author(s):  
P J Robinson ◽  
I D Sullivan ◽  
V Kumpeng ◽  
R H Anderson ◽  
F J Macartney
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
False Negative ◽  
Pulmonary Trunk ◽  
Anomalous Origin ◽  
Cross Sectional

scholarly journals Prenatally Diagnosed Isolated Coronary Arterial Fistula Leading to Severe Complications at Birth

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
A. Wacker-Gussmann ◽  
T. Esser ◽  
S. M. Lobmaier ◽  
M. O. Vogt ◽  
E. Ostermayer ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Coronary Artery ◽  
Right Ventricle ◽  
Doppler Echocardiography ◽  
Left Coronary Artery ◽  
Coronary Artery Fistula ◽  
The Right

Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.

scholarly journals Normal values of coronary arteries branching height in women

2021 ◽  
Vol 27 (4) ◽  
pp. 41-46
Author(s):  
U.Ye. Pidvalna ◽  
D.M. Beshley ◽  
M.Z. Mirchuk ◽  
L.R. Mateshuk-Vatseba
Keyword(s):  
Body Mass Index ◽  
Coronary Artery ◽  
Body Mass ◽  
Coronary Arteries ◽  
Body Surface ◽  
Left Coronary Artery ◽  
Statistical Significance ◽  
Lower Edge ◽  
The Mean ◽  
The Right

Morphometric analysis of the structures of the aortic bulb and coronary arteries is necessary for the planning of cardiac surgery and endovascular interventions. The aim of the study was to determine the height of the coronary arteries branching in healthy women of Lviv city and Lviv region and to determine the relationship between the height of the location of the orifice of the coronary artery with anthropometric indicators. Fifteen computed tomography images with contrast of female thorax without heart and ascending aortic lesions (normal) were selected for the study. The height of the upper and lower edges of the coronary arteries was measured; height of Valsalva sinuses. The comparison of the mean values was performed according to the Student’s t-test. The correlation between the observed variables (age, height, body weight, body mass index, body surface area, height of the sinuses of Valsalva) was calculated using the Pearson linear correlation method (r). According to the study, the population group consisted of persons of the second period of adulthood (46.67 %) and the elderly (53.33 %). According to the body mass index, 80 % were overweight or obese I-II degree. The mean height of the coronary artery orifice in women without structural changes of the heart and ascending aorta was: 11.19±1.96 mm for the left and 11.68±1.80 mm for the right. The height of the orifice of the right and left coronary arteries were almost the same, without statistical significance (p=0.26). Analysis of the correlation between the values of the height of the orifice of the coronary artery did not show a probable dependence on height, weight, age, body mass index and body surface area. There is a direct relationship between the parameters of the height of the lower edge of the right coronary artery and the height of the upper edge of the right coronary artery (r=+0.75, p=0.001) and between the value of the lower edge of the left coronary artery and the upper edge of the left coronary artery (r=+0.63, p=0.01). Thus, the analysis of the correlation between the values of the height of the orifice of the coronary artery in women in norm and anthropometric indicators did not show a significant relationship. There was no statistical significance between the indicators of the height of the orifice of the right and left coronary arteries in women.

An Infant With Mucolipidosis-II And an Atretic orifice of the Left Coronary Artery

2009 ◽  
Vol 20 (1) ◽  
pp. 97-99 ◽  
Author(s):  
Ana Siles ◽  
Grant A. Mitchell ◽  
Nagib S. Dahdah
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Color Doppler ◽  
Type Ii ◽  
Retrograde Flow ◽  
Cardiac Enzymes ◽  
Selective Coronary Angiography ◽  
Mucolipidosis Ii

AbstractA one-month-old boy, with type-II mucolipidosis, presented with congestive heart failure and elevated cardiac enzymes. The atretic nature of the orifice of the left coronary artery was revealed by retrograde flow on color Doppler and selective coronary angiography. Type-II mucolipidosis and atresia of the left coronary artery are rare. To the best of our knowledge, this is the first report of their combined occurence, suggesting a possible causal relationship.

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