scholarly journals Coronary Fistula Between Left Anterior Descending Artery (LAD) and Pulmonary Artery (PA) Leading to Sudden Cardiac Death: Case Report with Literature Review

2020 ◽  
Vol 16 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Ayman Battisha ◽  
Bader Madoukh ◽  
Omar Sheikh ◽  
Ahmed Altibi ◽  
Shakil Sheikh ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Pulmonary Artery ◽  
Cardiac Death ◽  
Left Anterior Descending Artery ◽  
Death Case ◽  
Appropriate Treatment ◽  
Major Vessel ◽  
Coronary Artery Fistulas ◽  
Ongoing Evaluation

Coronary Artery Fistulas (CAF) are inappropriate connections between a coronary artery and a major vessel or a cardiac chamber. These fistulas may or may not present with symptoms, but they need to be detected as early as possible in order to decide the most appropriate treatment methodology (i.e. surgery vs. conservative management). We report the case of a 67-year-old female with no modifiable cardiovascular risk factors who had an unwitnessed sudden death at home during her ongoing evaluation of a fistula detected incidentally between the Left Anterior Descending Artery (LAD) and the Pulmonary Artery (PA). This case highlights that early diagnosis and treatment of symptomatic CAF are crucial to minimize the risk of sudden cardiac death. Although the symptomatic fistula of LAD to PA has been reported in the literature multiple times, it has been rarely reported that this fistula can result in sudden cardiac death.

A Rare Case of Anomalous Left Coronary Artery From the Pulmonary Artery (Bland-White-Garland Syndrome) in a 68-Year-Old Woman

2016 ◽  
Vol 21 (2) ◽  
pp. 186-190
Author(s):  
S. Michael Roberts ◽  
Trey Banbury ◽  
Anand Mehta
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Pulmonary Artery ◽  
Cardiac Death ◽  
Left Coronary Artery ◽  
Anesthetic Management ◽  
Anomalous Left Coronary Artery ◽  
Initial Symptoms ◽  
Intraoperative Management ◽  
Anomalous Left Coronary

Anomalous left coronary artery from the pulmonary artery (ALCAPA), or Bland-White-Garland syndrome, is a rare congenital coronary anomaly that results in altered myocardial perfusion and a left to right shunt. It occurs in 1:300000 live births and represents 0.24% to 0.46% of all congenital cardiac diseases. Despite its rarity, it is one of the most common causes of ischemia and infarction in children. Ninety percent of these patients will die within the first year of life if untreated and diagnosing this abnormality in adulthood is extremely rare. Of those patients who survive to adulthood, the average age of sudden cardiac death is 35 years. The initial symptoms of the adult presentation vary widely from progressive dyspnea to sudden cardiac death; therefore, immediate surgical correction is highly recommended upon diagnosis. Understanding the pathophysiology and nature of collateral coronary flow in this congenital anomaly is paramount to the safe anesthetic management of adults with ALCAPA. Here we describe the intraoperative management and echocardiographic findings in a 68-year-old with with recently diagnosed ALCAPA undergoing surgical repair.

scholarly journals Reversible Pulmonary Hypertension due to Combined Fistula between the Left Anterior Descending Artery (LAD) and Pulmonary Artery and Severe Stenosis of the LAD

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
N. Schizas ◽  
V. Patris ◽  
S. Giannaraki ◽  
G. Ifanti ◽  
I. Anagnostopoulos ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Severe Pulmonary Hypertension ◽  
Severe Stenosis ◽  
Left Anterior Descending Artery ◽  
Threatening Condition ◽  
Coronary Artery Fistulas ◽  
Life Threatening ◽  
Development And Management

Coronary artery fistulas are usually diagnosed accidentally without the presence of any symptoms. On the other hand, the combination of fistula between the left anterior descending artery (LAD) and pulmonary artery (PA) and severe stenosis of the LAD, as in this case report, is a potential life-threatening condition. A 72-year-old patient was treated surgically after being diagnosed with fistula between the LAD and PA, severe stenosis of the LAD, and severe pulmonary hypertension. In following paragraphs, the case of this man and significant issues regarding the development and management of coronary artery fistulas are analyzed.

Ligation of a Fistula between the Left Main Coronary Artery and Both the Pulmonary Artery and the Right Ventricle

2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Left Main Coronary Artery ◽  
Coronary Artery Fistula ◽  
Left Main ◽  
Symptomatic Disease ◽  
Coronary Artery Fistulas ◽  
The Right

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.

Effect of Hypertension and Cardiac Hypertrophy on Coronary Artery Morphology in Sudden Cardiac Death

Circulation ◽  
1996 ◽  
Vol 94 (12) ◽  
pp. 3138-3145 ◽  
Author(s):  
Allen P. Burke ◽  
Andrew Farb ◽  
You-hui Liang ◽  
John Smialek ◽  
Renu Virmani
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Hypertrophy ◽  
Cardiac Death

scholarly journals Anomalous Coronary Artery Origin and Sudden Cardiac Death

2019 ◽  
Vol 5 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Gherardo Finocchiaro ◽  
Elijah R. Behr ◽  
Gaia Tanzarella ◽  
Michael Papadakis ◽  
Aneil Malhotra ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Anomalous Coronary
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