OP-088 The Clinical and Angiograpic Profile of Coronary Artery Fistulas in A Large Group of Patients Who Underwent Coronary Angiograpy




Introduction


Coronary artery fistulas (CAFs) are defined as abnormal communications between a coronary artery and a cardiac chamber or major vessel, such as the vena cava, right or left ventricle, pulmonary vein, or pulmonary artery.




Results


In this study 18.106 patients, who had undergone coronary angiography between January 2011 and June 2013, were screened retrospectively. Among them we detected CAFs in 23 patients, 13 male (%57) and 10 female (%43), aged between 41-73 years (mean age 53.7±12.5). A total of 27 fistulas were detected in 23 patients; angiografic prevelance was % 0,14. Four patients (%17) had bilateral fistulas; 2 were originating from both left coronary artery (LAD) and right coronary artery (RCA), one was orginating RCA and circumflex artery (Cx), one was orginating LAD and Cx. Angina pectoris was the most common symptom (n=17, %74), dyspnea was the second symptom (n=6, %26). Eleven patients (%47.8) had coronary artery disease, one of them presented with acute coronary syndrome. There were three patients with concomitant muscular bridge, one patient with heart failure, one patient with severe mitral valve regurgitation. There was detected normal coronary arteries on 12 patients (%52). CAFs were orginated mainly from LAD ( n=14,%52 ). Others were orginating from RCA (n=7,%26 ) and Cx (n=6,%22). CAFs were mainly drained into pulmonary artery (n=15,%55). Others were drained into left ventricle (n=4,%15), right ventricle (n=4,%15), left atrium (n=1,%4) and right atrium (n=3,%11).

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Dec 1, 2016 | Posted by in CARDIOLOGY | Comments Off on OP-088 The Clinical and Angiograpic Profile of Coronary Artery Fistulas in A Large Group of Patients Who Underwent Coronary Angiograpy

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