Imaging of Multiple Coronary Artery Fistulas to Right Ventricle by Transthoracic and Transesophageal Echocardiography

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.

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Intraoperative transesophageal echocardiography of coronary artery fistulas

The Annals of Thoracic Surgery ◽

10.1016/0003-4975(94)91360-9 ◽

1994 ◽

Vol 57 (5) ◽

pp. 1217-1221 ◽

Cited By ~ 17

Author(s):

J.Geoffrey Stevenson ◽

Gregory K. Sorensen ◽

Stanley J. Stamm ◽

John P. McCloskey ◽

Dale G. Hall ◽

...

Keyword(s):

Coronary Artery ◽

Transesophageal Echocardiography ◽

Intraoperative Transesophageal Echocardiography ◽

Coronary Artery Fistulas

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Images of a large fistulous communication between the right ventricle and left anterior descending coronary artery

Cardiology in the Young ◽

10.1017/s1047951119003305 ◽

2020 ◽

Vol 30 (2) ◽

pp. 271-272

Author(s):

Hayrullah Alp ◽

Ahmet M. Elmacı ◽

Mehmet Taşar

Keyword(s):

Heart Failure ◽

Coronary Artery ◽

Right Ventricle ◽

Right Ventricular ◽

Myocardial Ischaemia ◽

Heart Defects ◽

Asymptomatic Child ◽

Coronary Artery Fistulas ◽

The Right

AbstractCoronary artery fistulas are relatively rare congenital or iatrogenic heart defects that can present with or without symptoms. Symptomatic patients manifest as myocardial ischaemia, arrhythmia, or heart failure. We present a asymptomatic child with a large left anterior descending coronary artery to right ventricular fistula.

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Intraoperative Transesophageal Echocardiography in the Management of a Right Coronary Artery to Coronary Sinus Fistula

Journal of Perioperative Echocardiography ◽

10.5005/jp-journals-10034-1003 ◽

2013 ◽

Vol 1 (1) ◽

pp. 21-23

Author(s):

Stephen O Bader

Keyword(s):

Coronary Artery ◽

Transesophageal Echocardiography ◽

Right Coronary Artery ◽

Coronary Sinus ◽

Coronary Artery Fistula ◽

Intraoperative Transesophageal Echocardiography ◽

Coronary Artery Fistulas

ABSTRACT Coronary artery fistulas are rare but can have significant perioperative consequences. We describe the case of a 65- year-old man found to have a coronary artery fistula from the anterior right coronary artery to the coronary sinus. We discuss the unique advantages that transesophageal echocardiography offers in the monitoring and management of coronary artery fistulas. How to cite this article McHugh SM, Bader SO. Intraoperative Transesophageal Echocardiography in the Management of a Right Coronary Artery to Coronary Sinus Fistula. J Perioper Echocardiogr 2013;1(1):21-23.

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