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      Surgical Treatment of an Aneurysmal Coronary Artery Fistula between the Left Coronary Artery and Right Atrium: A Case Report

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          Abstract

          A coronary artery fistula (CAF) is an abnormal vascular connection between the coronary arteries and the cardiac chambers or major vessels. Although rare, CAFs can lead to substantial coronary morbidity and mortality. This study outlines the surgical management of a CAF originating from the left coronary artery and connecting to the right atrium, in a patient experiencing angina with a marked left-to-right shunt. The surgical approach involved ligation of the coronary artery and reduction of the aneurysmal portion, resulting in the patient’s uneventful recovery.

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          Coronary artery fistula.

          Chirantan V Mangukia (2012)
          Although coronary arterial fistula is rare, it is one of the most common among the coronary artery anomalies. Coronary arterial fistula most commonly affects the right side of the heart. It may occur isolated or along with congenital heart diseases. Angiography remains the best investigation for diagnosing the disease. Unless very large and hemodynamically significant, it is usually asymptomatic in younger patients. With increasing age, symptoms begin to appear, and the incidence of complication rises. Treatment by transcatheter or surgical closure gives the best results, provided this is performed early in the course of the disease. This review was prepared by searching the terms "coronary artery fistula," "coronary cameral fistula," "surgical management of coronary arterial fistula," "MDCT in coronary artery fistula," and "multiple coronary artery fistulae" in Google Scholar, PubMed, and PubMed Central and exploring the related articles shown on the side of page. Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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            Coronary arteriovenous fistulae: a review.

            Dimitris Challoumas, Agamemnon Pericleous, Inetzi A Dimitrakaki … (2014)
            Coronary arteriovenous fistulae are a coronary anomaly, presenting in 0.002% of the general population. Their etiology can be congenital or acquired. We present a review of recent literature related to their epidemiology, etiology, pathophysiology, clinical presentation, diagnostic approach, and therapeutic management.
            Article 0 comments Cited 60 times – based on 0 reviews     Review now
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              Coronary artery fistula: a review

              Alana John, Diane E Spicer, R. Tubbs … (2015)
              Coronary arterial fistulas are abnormal connections between the coronary arteries and the chambers of the heart or major thoracic vessels. Although first described in 1841, the true incidence is difficult to evaluate because approximately half of the cases may be asymptomatic and clinically undetectable. This review will discuss the history and prevalence of coronary artery fistulas and their morphology, histology, presentation, diagnosis, treatment options, and complications.
              Article 0 comments Cited 35 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Chest Surg
                Journal ID (iso-abbrev): J Chest Surg
                Title: Journal of Chest Surgery
                Publisher: The Korean Society for Thoracic and Cardiovascular Surgery
                ISSN (Print): 2765-1606
                ISSN (Electronic): 2765-1614
                Publication date (Print): 5 March 2024
                Publication date (Electronic): 16 January 2024
                Publication date PMC-release: 16 January 2024
                Volume: 57
                Issue: 2
                Pages: 220-224
                Affiliations
                [1]Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea
                Author notes
                Corresponding author Jae Suk Yoo Tel 82-2-3010-3583 Fax 82-2-3010-6966 E-mail mdyoo@ 123456amc.seoul.kr ORCID https://orcid.org/0000-0002-7008-054X
                Author information
                https://orcid.org/0009-0007-7205-3020
                https://orcid.org/0000-0002-7008-054X
                Article
                Publisher ID: jcs-57-2-220
                DOI: 10.5090/jcs.23.079
                PMC ID: 10927425
                PubMed ID: 38225827
                SO-VID: 96e2f6e5-89c7-461e-b5da-040817a4a3e3
                Copyright © Copyright © 2024, The Korean Society for Thoracic and Cardiovascular Surgery
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 27 June 2023
                Date revision received : 27 August 2023
                Date accepted : 24 October 2023
                Funding
                Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
                Categories
                Subject: Case Report

                Keywords: coronary artery fistula,coronary cameral fistula,coronary artery aneurysm,left-to-right shunt,case reports
                Data availability:
                Keywords: coronary artery fistula, coronary cameral fistula, coronary artery aneurysm, left-to-right shunt, case reports

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