Olgu Sunumu
BibTex RIS Kaynak Göster

Surgical Repair of Fistula Between Right Coronary Artery and Main Pulmonary Artery: Case Report

Yıl 2022, , 437 - 441, 14.03.2022
https://doi.org/10.20515/otd.944048

Öz

Coronary artery fistulas (CAF) are uncommon cases. They may cause myocardial ischemia, arrhythmia, pulmonary hypertension, and heart failure. Treatment options are controversial and not clear. In this article we report surgical management of a case with right coronary artery fistula and concurrent coronary artery disease. A sixty-years-old male patient with stable angina symptoms admitted to our medical center. Coronary angiography examination showed a right coronary artery to pulmonary artery fistula and significant right coronary artery lesion located after the fistula's origin. CAF ligated epicardially and right coronary revascularization was performed. Coronary arterial fistulas cause important hemodynamic problems. Surgical and transcatheter interventional treatments are treatment options. Therefore indications for treatment are very important for these patients. The best therapeutic strategy (surgery or transcatheter intervention) is debatable. The surgical treatment is controversial especially for asymptomatic and small fistulas. However, there is consensus that large and symptomatic fistulas should be treated. Further research is necessary to deepen these observations.

Kaynakça

  • Luo L, Kebede S, Wu S, Stouffer GA. Coronary artery fistulae.Am J Med Sci 2006; 332: 79-84 (Review).
  • Vaidya YP, Green GR.Coronary artery fistula. J Card Surg. 2019 Sep 26. doi: 10.1111/jocs.14267. [Epub ahead of print]
  • Albeyoglu S, Aldag M, Ciloglu U, Sargin M, Oz TK, Kutlu H, et al..Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes. Braz J Cardiovasc Surg. 2017 Jan-Feb; 32(1):15-21. doi: 10.21470/1678-9741-2017-0005.
  • Hou B, Ma W, Zhang J, Du M, Sun H, Xu J, et al. Surgical management of left circumflex coronary artery fistula: a 25-year single-center experience in 29 patients. Ann Thorac Surg. 2014; 97:530-6.
  • Kawamoto H, Tanaka K, Ruparelia N, Takagi K, Yabushita H, Watanabe Y, et al.Short-Term and Long-Term Outcomes After Polytetrafluoroethylene-Covered Stent Implantation for the Treatment of Coronary Perforation. Am J Cardiol. 2015 Dec 15;116(12):1822-6. doi: 10.1016/j.amjcard.2015.09.019. Epub 2015 Oct 5.
  • Hachinohe D, Latib A, Laricchia A, Iannopollo G, Demir OM, Ancona MB, et al.Long-term follow-up of covered stent implantation for various coronary artery diseases. Catheter CardiovascInterv. 2019 Oct 1;94(4):571-577. doi: 10.1002/ccd.28117. Epub 2019 Feb 17.
  • Huang YK, Lei MH, Lu MS, Tseng CN, Chang JP, Chu JJ.. Bilateral coronary-to-pulmonary artery fistulas. Ann ThoracSurg 2006; 82:1886–8.
  • Kamiya H, Yasuda T, Nagamine H, Sakakibara N, Nishida S, Kawasuji M, et al. Surgical treatment of congenital coronary artery fistulas: 27 years’ experience and a review of the literature. J Card Surg 2002; 17:173–7.
  • Verdini D, Vargas D, Kuo A, Ghoshhajra B, Kim P, Murillo H, et al. Coronary-Pulmonary Artery Fistulas: A Systematic Review. J Thorac Imaging. 2016 Nov; 31(6):380-390.
  • Demirkilic U, Ozal E, Bingol H, Cingoz F, Gunay C, Doganci S, et al. Surgical treatment of coronary artery fistulas: 15 years' experience. Asian Cardiovasc Thorac Ann. 2004 Jun; 12(2):133-8.
  • Sohn J, Song JM, Jang JY, Sun BJ, Kim DH, Kang DH, et al. Coronary artery fistula draining into the left ventricle. J Cardiovasc Ultrasound. 2014; 22(1):28–31.
  • Sharma UM, Aslam AF, Tak T. Diagnosis of Coronary Artery Fistulas: Clinical Aspect sand Brief Review of the Literature. Int J Angiol. 2013; 22(3):189–92.
  • Cesaro A, Moscarella E, Gragnano F, Perrotta R, Diana V, Pariggiano I, et al.Transradial access versus transfemoral access: a comparison of outcomes and efficacy in reducing hemorrhagic events. Expert Rev CardiovascTher. 2019 Jun;17(6):435-447. doi: 10.1080/14779072.2019.1627873.
  • Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE. Management of coronaryarteryfistulae. Patient selection and results of transcatheterclosure. J AmCollCardiol 2002;39.1026–32.

Sağ Koroner Arter ile Ana Pulmoner Arter Arasında Görülen Fistülün Cerrahi Onarımı: Olgu Sunumu

Yıl 2022, , 437 - 441, 14.03.2022
https://doi.org/10.20515/otd.944048

Öz

Koroner arter fistülleri (KAF) nadir vakalardır. Miyokardiyal iskemi, aritmi, pulmoner hipertansiyon ve kalp yetmezliğine neden olabilirler. Tedavi seçenekleri tartışmalı ve net değildir. Bu yazıda sağ koroner arter fistülü ve eşlik eden koroner arter hastalığı olan bir olgunun cerrahi tedavisini sunuyoruz. Altmış yaşında erkek hasta, stabil anjina semptomları ile tıp merkezimize başvurdu. Koroner anjiyografide, pulmoner artere doğru sağ koroner arter fistülü ve fistülün başlangıcından sonra yer alan belirgin sağ koroner arter lezyonu görüldü. KAF epikardiyal olarak kliplerle ligature edildi ve sağ koroner arter revaskülarizasyonu yapıldı. Koroner arter fistülleri önemli hemodinamik sorunlara neden olur. Cerrahi ve transkateter girişimsel işlemler tedavi seçenekleridir. Bu nedenle bu hastalar için tedavi endikasyonları çok önemlidir. En iyi tedavi stratejisi (cerrahi veya transkateter müdahale) hala net değildir. Özellikle asemptomatik ve küçük fistüllerde cerrahi tedavi tartışmalıdır. Ancak büyük ve semptomatik fistüllerin tedavi edilmesi gerektiği konusunda fikir birliği vardır. Bu gözlemleri derinleştirmek için daha fazla araştırmaya ihtiyaç vardır.

Kaynakça

  • Luo L, Kebede S, Wu S, Stouffer GA. Coronary artery fistulae.Am J Med Sci 2006; 332: 79-84 (Review).
  • Vaidya YP, Green GR.Coronary artery fistula. J Card Surg. 2019 Sep 26. doi: 10.1111/jocs.14267. [Epub ahead of print]
  • Albeyoglu S, Aldag M, Ciloglu U, Sargin M, Oz TK, Kutlu H, et al..Coronary Arteriovenous Fistulas in Adult Patients: Surgical Management and Outcomes. Braz J Cardiovasc Surg. 2017 Jan-Feb; 32(1):15-21. doi: 10.21470/1678-9741-2017-0005.
  • Hou B, Ma W, Zhang J, Du M, Sun H, Xu J, et al. Surgical management of left circumflex coronary artery fistula: a 25-year single-center experience in 29 patients. Ann Thorac Surg. 2014; 97:530-6.
  • Kawamoto H, Tanaka K, Ruparelia N, Takagi K, Yabushita H, Watanabe Y, et al.Short-Term and Long-Term Outcomes After Polytetrafluoroethylene-Covered Stent Implantation for the Treatment of Coronary Perforation. Am J Cardiol. 2015 Dec 15;116(12):1822-6. doi: 10.1016/j.amjcard.2015.09.019. Epub 2015 Oct 5.
  • Hachinohe D, Latib A, Laricchia A, Iannopollo G, Demir OM, Ancona MB, et al.Long-term follow-up of covered stent implantation for various coronary artery diseases. Catheter CardiovascInterv. 2019 Oct 1;94(4):571-577. doi: 10.1002/ccd.28117. Epub 2019 Feb 17.
  • Huang YK, Lei MH, Lu MS, Tseng CN, Chang JP, Chu JJ.. Bilateral coronary-to-pulmonary artery fistulas. Ann ThoracSurg 2006; 82:1886–8.
  • Kamiya H, Yasuda T, Nagamine H, Sakakibara N, Nishida S, Kawasuji M, et al. Surgical treatment of congenital coronary artery fistulas: 27 years’ experience and a review of the literature. J Card Surg 2002; 17:173–7.
  • Verdini D, Vargas D, Kuo A, Ghoshhajra B, Kim P, Murillo H, et al. Coronary-Pulmonary Artery Fistulas: A Systematic Review. J Thorac Imaging. 2016 Nov; 31(6):380-390.
  • Demirkilic U, Ozal E, Bingol H, Cingoz F, Gunay C, Doganci S, et al. Surgical treatment of coronary artery fistulas: 15 years' experience. Asian Cardiovasc Thorac Ann. 2004 Jun; 12(2):133-8.
  • Sohn J, Song JM, Jang JY, Sun BJ, Kim DH, Kang DH, et al. Coronary artery fistula draining into the left ventricle. J Cardiovasc Ultrasound. 2014; 22(1):28–31.
  • Sharma UM, Aslam AF, Tak T. Diagnosis of Coronary Artery Fistulas: Clinical Aspect sand Brief Review of the Literature. Int J Angiol. 2013; 22(3):189–92.
  • Cesaro A, Moscarella E, Gragnano F, Perrotta R, Diana V, Pariggiano I, et al.Transradial access versus transfemoral access: a comparison of outcomes and efficacy in reducing hemorrhagic events. Expert Rev CardiovascTher. 2019 Jun;17(6):435-447. doi: 10.1080/14779072.2019.1627873.
  • Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE. Management of coronaryarteryfistulae. Patient selection and results of transcatheterclosure. J AmCollCardiol 2002;39.1026–32.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm OLGU SUNUMLARI / CASE REPORTS
Yazarlar

Nazım Kankılıç 0000-0001-7111-7503

Mehmet Salih Aydın 0000-0002-6652-6035

Mustafa Göz 0000-0001-7073-9650

Bişar Amaç 0000-0003-0320-4239

Yayımlanma Tarihi 14 Mart 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Kankılıç N, Aydın MS, Göz M, Amaç B. Surgical Repair of Fistula Between Right Coronary Artery and Main Pulmonary Artery: Case Report. Osmangazi Tıp Dergisi. 2022;44(3):437-41.


13299        13308       13306       13305    13307  1330126978