Coronary artery fistulae (CAF) are classified as abnormalities of a chamber of the heart (coronary-cameral fistula) or any segment of the. Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these. Coronary artery fistulas: clinical and therapeutic considerations. Coronary artery to pulmonary artery fistulae with multiple aneurysms: radiological features on dual-source slice . MDCT in the Evaluation of Coronary Cameral Fistula.

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Dyspnoea on exertion; EF: Report of 13 patients, review of the literature and delineation of management. Author information Copyright and License information Disclaimer. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Journal List Heart v. Left ventricular hypertrophy; M: Apical hypertrophic cardiomyopathy associated with multiple coronary artery-left ventricular fistulae: Coronary cameral fistulas; Camera, Imaging with colour flow Doppler demonstrated blood flow from the epicardial surface into the left ventricular cavity through the hypertrophied segment of myocardium during diastole.

However, neither ventricular arrhythmias nor infective endocarditis were reported in the MMFs subjects.


Careful inspection revealed similar communications arising from the circumflex Supplementary cine angiographic images and right coronary arteries not shown. An extremely tortuous coronary fistula forming multiple loops was observed. He underwent mitral valve repair and surgical ligation of the fistula.

Generalized coronary arterio-systemic left ventricular fistula. While most patients are asymptomatic or have non-specific complaints, bilateral MMFs draining into the LV may remain clinically silent[ 39 ] or may produce diastolic murmur[ fistulq ] and diastolic volume overload, mimicking aortic valve insufficiency.

Dual endocardial pacing leads are appreciated. Severe form of persistent thebesian veins presenting as ischemic heart disease. Coronary artery calcium and the competing long-term risk of cardiovascular vs.

Coronary–cameral fistula

Cpronary University Press is a department of the University of Oxford. Panel B Right anterior oblique view of the left coronary artery demonstrating direct communication of the first diagonal with the left ventricular cavity. Noninvasive assessment of myocardial bridging in the left coronary artery by transthoracic Doppler echocardiography. Our findings were similar and in accordance with the findings of others[ 1 ]. Since the patient was symptomatic, surgical closure of the fistula was done.

Symptomatic Coronary Cameral Fistula

Autopsy findings Autopsy of patients corlnary congenital multilateral MMFs to both ventricles depicted insignificant atherosclerotic coronary artery disease, cardiac dilatation and hypertrophy, and dilated coronary arteries with histologically, numerous small vessels of various diameters across the myocardium with patchy subendocardial fibrosis[ 5152 ].


Congenital coronary cameral fistulas encompass a group of solitary macro small or large or multiple micro coronary cameral communications that are increasingly recognized due to sophistication and wide spread application of non-invasive and invasive angiographic imaging modalities[ 103036 ]. Conservative medical management; COPD: Case report and review of literature. Significant coronary artery disease was present in only 2 patients.

Visualization of coronary artery fistula by two-dimensional echocardiography. Statistical analysis Continuous variables are expressed as means and ranges and categorical variables were presented as percentages.

Multiple coronary artery-left ventricle microfistulae and spongy myocardium: Indexed in Web of Science. The Coronayr depicted sinus rhythm in 10 and atrial fibrillation in 1 patient without T wave inversion in the anterior chest leads. A case of coronary-artery-left ventricular microfistulae demonstrated by transthoracic Doppler echocardiography. A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina.

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