Skip to main content
Erschienen in: Clinical Research in Cardiology 4/2008

01.04.2008 | CLINICAL CORRESPONDENCE

Left circumflex coronary artery fistula to the superior vena cava: assessment of the exact anatomy by multidetector CT

verfasst von: Hubert Gufler, MD, Thomas Voigtlander, Bernd Nowak, Annett Magedanz, Axel Schmermund

Erschienen in: Clinical Research in Cardiology | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

A 62-year-old woman with mild dyspnea on exertion underwent coronary angiography. A large fistula of the left circumflex artery was found but the exit site of this unusual anomaly could not be established. Contrast-enhanced multidetector computed tomography of the coronary arteries was performed which allowed clear identification of the drainage of the fistula into the superior vena cava.
Literatur
1.
Zurück zum Zitat Alkhulaifi AM, Horner SM, Pugsley WB, Swanton RH (1995) Coronary artery fistulas presenting with bacterial endocarditis. Ann Thorac Surg 60:202–204PubMed Alkhulaifi AM, Horner SM, Pugsley WB, Swanton RH (1995) Coronary artery fistulas presenting with bacterial endocarditis. Ann Thorac Surg 60:202–204PubMed
2.
Zurück zum Zitat Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE (2002) Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol 39:1026–1032PubMedCrossRef Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE (2002) Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol 39:1026–1032PubMedCrossRef
3.
Zurück zum Zitat Aydogan U, Onursal E, Cantez T, Barlas C, Tanman B, Gurgan L (1994) Giant congenital coronary artery fistula to left superior vena cava and right atrium with compression of left pulmonary vein simulating cor triatratum: diagnostic value of magnetic resonance imaging. Eur J Cardiovasc Surg 8:97–99CrossRef Aydogan U, Onursal E, Cantez T, Barlas C, Tanman B, Gurgan L (1994) Giant congenital coronary artery fistula to left superior vena cava and right atrium with compression of left pulmonary vein simulating cor triatratum: diagnostic value of magnetic resonance imaging. Eur J Cardiovasc Surg 8:97–99CrossRef
4.
Zurück zum Zitat Bauer HH, Allmendinger PD, Flaherty J, Owlia D, Rossi MA, Chen C (1996) Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. Ann Thorac Surg 62:1521–1523PubMedCrossRef Bauer HH, Allmendinger PD, Flaherty J, Owlia D, Rossi MA, Chen C (1996) Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. Ann Thorac Surg 62:1521–1523PubMedCrossRef
5.
Zurück zum Zitat Brueck M, Dirk Bandorski D, Vogt PR, Kramer W, Heidt MC (2006) Myocardial ischemia due to an isolated coronary fistula. Clin Res Cardiol 95:550–553PubMedCrossRef Brueck M, Dirk Bandorski D, Vogt PR, Kramer W, Heidt MC (2006) Myocardial ischemia due to an isolated coronary fistula. Clin Res Cardiol 95:550–553PubMedCrossRef
6.
Zurück zum Zitat Chen CC, Hwang B, Hsuing MC, Ching BN, Merg LC, Wang DJ, Wang SP (1984) Recognition of coronary arterial fistula by Doppler 2-dimentional echocardiography. Am J Cardiol 53:392–394PubMedCrossRef Chen CC, Hwang B, Hsuing MC, Ching BN, Merg LC, Wang DJ, Wang SP (1984) Recognition of coronary arterial fistula by Doppler 2-dimentional echocardiography. Am J Cardiol 53:392–394PubMedCrossRef
7.
Zurück zum Zitat Cheung DL, Au WK, Cheung HH, Chiu CS, Lee WT (2001) Coronary artery fistulas: long term results of surgical correction. Ann Thorac Surg 71:190–195PubMedCrossRef Cheung DL, Au WK, Cheung HH, Chiu CS, Lee WT (2001) Coronary artery fistulas: long term results of surgical correction. Ann Thorac Surg 71:190–195PubMedCrossRef
8.
Zurück zum Zitat Ercan E, Tengiz I, Yakut N, Gurbuz A, Bozdemir H, Bozdemir G (2003) Takayasu’s arteritis with multiple fistulas from three coronary arteries to lung paranchyma. Int J Cardiol 88:319–320PubMedCrossRef Ercan E, Tengiz I, Yakut N, Gurbuz A, Bozdemir H, Bozdemir G (2003) Takayasu’s arteritis with multiple fistulas from three coronary arteries to lung paranchyma. Int J Cardiol 88:319–320PubMedCrossRef
9.
Zurück zum Zitat Fernandez ED, Kadivar H, Hallman GL, Reul GJ, Ott DA, Cooley DA (1992) Congential malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 54:732–740CrossRef Fernandez ED, Kadivar H, Hallman GL, Reul GJ, Ott DA, Cooley DA (1992) Congential malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 54:732–740CrossRef
10.
Zurück zum Zitat Goswami NJ, Zabalgoitia M (2002) Localization of a coronary artery fistula using contrast transesophageal echocardiography. J Am Soc Echocardiogr 15:839–840PubMedCrossRef Goswami NJ, Zabalgoitia M (2002) Localization of a coronary artery fistula using contrast transesophageal echocardiography. J Am Soc Echocardiogr 15:839–840PubMedCrossRef
11.
Zurück zum Zitat Grant RT (1926) Development of the coronary vessels in the rabbit heart. Heart 13:261–271 Grant RT (1926) Development of the coronary vessels in the rabbit heart. Heart 13:261–271
12.
Zurück zum Zitat Grant RT (1926) An unusual anomaly of the coronary vessels in the malformed heart of a child. Heart 13:273–283 Grant RT (1926) An unusual anomaly of the coronary vessels in the malformed heart of a child. Heart 13:273–283
13.
Zurück zum Zitat Griffiths SP, Ellis K, Hordof AJ, Martin E, Levine OR, Gersony WM (1983) Spontaneous complete closure of a congenital coronary artery fistula. J Am Coll Cardiol 2:1169–1173PubMedCrossRef Griffiths SP, Ellis K, Hordof AJ, Martin E, Levine OR, Gersony WM (1983) Spontaneous complete closure of a congenital coronary artery fistula. J Am Coll Cardiol 2:1169–1173PubMedCrossRef
14.
Zurück zum Zitat Hong GJ, Lin CY, Lee CY, Loh SH, Yang HS, Lin KY, Tsai YT, Tsai CS (2004) Congenital coronary artery fistulas: clinical considerations and surgical treatment. ANZ J Surg 74:350–355PubMedCrossRef Hong GJ, Lin CY, Lee CY, Loh SH, Yang HS, Lin KY, Tsai YT, Tsai CS (2004) Congenital coronary artery fistulas: clinical considerations and surgical treatment. ANZ J Surg 74:350–355PubMedCrossRef
15.
Zurück zum Zitat Komatsu S, Achenbach S, Ropers D, Daniel WG, Ueda Y, Pflederer, Kuhlmann A, Wechsel M, Hirayama A, Kodama K (2007) Occlusion of coronary aneurysms demonstrated by multidetector-row computed tomography Clin Res Cardiol 96:575–578 Komatsu S, Achenbach S, Ropers D, Daniel WG, Ueda Y, Pflederer, Kuhlmann A, Wechsel M, Hirayama A, Kodama K (2007) Occlusion of coronary aneurysms demonstrated by multidetector-row computed tomography Clin Res Cardiol 96:575–578
16.
Zurück zum Zitat Levin DC, Fellows KE, Abrams HL (1978) Hemodynamically significant primary anomalies of the coronary arteries: angiographic aspects. Circulation 58:25–34PubMed Levin DC, Fellows KE, Abrams HL (1978) Hemodynamically significant primary anomalies of the coronary arteries: angiographic aspects. Circulation 58:25–34PubMed
17.
Zurück zum Zitat Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levine FH (1979) Congential coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 59:849–854PubMed Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levine FH (1979) Congential coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 59:849–854PubMed
18.
Zurück zum Zitat Lowe JE, Oldham HN, Sabiston DC (1981) Surgical management of congenital coronary artery fistulas. An Surg 194:373–380 Lowe JE, Oldham HN, Sabiston DC (1981) Surgical management of congenital coronary artery fistulas. An Surg 194:373–380
19.
Zurück zum Zitat Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M (1997) Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg 63:1235–1242PubMedCrossRef Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M (1997) Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg 63:1235–1242PubMedCrossRef
20.
Zurück zum Zitat Nakamura M, Matsuoka H, Kawakami H, Komatsu J, Itou T, Higashino H, Kido T, Mochizuki T (2006) Giant congenital coronary artery fistula to left brachial vein clearly detected by multidetector computed tomography. Circ J 70:796–799PubMedCrossRef Nakamura M, Matsuoka H, Kawakami H, Komatsu J, Itou T, Higashino H, Kido T, Mochizuki T (2006) Giant congenital coronary artery fistula to left brachial vein clearly detected by multidetector computed tomography. Circ J 70:796–799PubMedCrossRef
21.
Zurück zum Zitat Perry SB, Rome J, Keane JF, Baim DS, Lock JE (1992) Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol 20:205–209PubMed Perry SB, Rome J, Keane JF, Baim DS, Lock JE (1992) Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol 20:205–209PubMed
22.
Zurück zum Zitat Roberts WC (1986) Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 111:941–963PubMedCrossRef Roberts WC (1986) Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 111:941–963PubMedCrossRef
23.
Zurück zum Zitat Ropers D, Rixe J, Anders K, Kuttner A, Baum U, Bautz W, Daniel WG, Achenbach S (2006) Usefulness of multidetector row spiral computed tomography with 64- × 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. J Cardiol 97:343–348CrossRef Ropers D, Rixe J, Anders K, Kuttner A, Baum U, Bautz W, Daniel WG, Achenbach S (2006) Usefulness of multidetector row spiral computed tomography with 64- × 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. J Cardiol 97:343–348CrossRef
24.
Zurück zum Zitat Said SA, Van der Werf T (1999) Acquired coronary cameral fistulas: are these collaterals losing their destination. Clin Cardiol 22:297–302PubMed Said SA, Van der Werf T (1999) Acquired coronary cameral fistulas: are these collaterals losing their destination. Clin Cardiol 22:297–302PubMed
25.
Zurück zum Zitat Said SA, el Gamal MI (1995) Coronary angiographic morphology of congenital coronary arteriovenous fistulas in adults: report of four new cases and review of angiograms of fifteen reported cases. Cathet Cardiovasc Diagn 35:29–35PubMedCrossRef Said SA, el Gamal MI (1995) Coronary angiographic morphology of congenital coronary arteriovenous fistulas in adults: report of four new cases and review of angiograms of fifteen reported cases. Cathet Cardiovasc Diagn 35:29–35PubMedCrossRef
26.
Zurück zum Zitat Sandhu JS, Uretsky BF, Zerbe TR, Goldsmith AS, Reddy PS, Kormos RL, Griffith BP, Hardest RL (1989) Coronary artery fistula in the heart transplant patient: a potential complication of endomyocardial biopsy. Circulation 79:350–356PubMed Sandhu JS, Uretsky BF, Zerbe TR, Goldsmith AS, Reddy PS, Kormos RL, Griffith BP, Hardest RL (1989) Coronary artery fistula in the heart transplant patient: a potential complication of endomyocardial biopsy. Circulation 79:350–356PubMed
27.
Zurück zum Zitat Schleich JM, Rey C, Gewilling M, Bozio A (2001) Spontaneous closure of congenital coronary artery fistulas. Heart 85(4):E6PubMedCrossRef Schleich JM, Rey C, Gewilling M, Bozio A (2001) Spontaneous closure of congenital coronary artery fistulas. Heart 85(4):E6PubMedCrossRef
28.
Zurück zum Zitat Schmid M, Achenbach S, Ludwig J, Baum U, Anders K, Pohle K, Daniel WG, Ropers D (2006) Visualization of coronary artery anomalies by contrast-enhanced multi-detector row spiral computed tomography. Int J Cardiol 111:430–435PubMedCrossRef Schmid M, Achenbach S, Ludwig J, Baum U, Anders K, Pohle K, Daniel WG, Ropers D (2006) Visualization of coronary artery anomalies by contrast-enhanced multi-detector row spiral computed tomography. Int J Cardiol 111:430–435PubMedCrossRef
29.
Zurück zum Zitat Vitarelli A, De Curtis G, Conde Y, Colantonio M, Di Benedetto G, Pecce P, De Nardo L, Squillaci E (2002) Assessment of congenital coronary artery fistulas by transesophageal color Doppler echocardiography. Am J Med 113:127–133PubMedCrossRef Vitarelli A, De Curtis G, Conde Y, Colantonio M, Di Benedetto G, Pecce P, De Nardo L, Squillaci E (2002) Assessment of congenital coronary artery fistulas by transesophageal color Doppler echocardiography. Am J Med 113:127–133PubMedCrossRef
30.
Zurück zum Zitat Voigtlander T, Rupprecht HJ, Stahr P, Nowak B, Kupferwasser K, Meyer J (1996) Development of a coronary aneurysm 6 months after stent implantation assessed by intracoronary ultrasound. Am Heart J 131:833–834PubMedCrossRef Voigtlander T, Rupprecht HJ, Stahr P, Nowak B, Kupferwasser K, Meyer J (1996) Development of a coronary aneurysm 6 months after stent implantation assessed by intracoronary ultrasound. Am Heart J 131:833–834PubMedCrossRef
31.
Zurück zum Zitat Yamanaka O, Hobbs RE (1990) Coronary artery anormalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28–40PubMedCrossRef Yamanaka O, Hobbs RE (1990) Coronary artery anormalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28–40PubMedCrossRef
Metadaten
Titel
Left circumflex coronary artery fistula to the superior vena cava: assessment of the exact anatomy by multidetector CT
verfasst von
Hubert Gufler, MD
Thomas Voigtlander
Bernd Nowak
Annett Magedanz
Axel Schmermund
Publikationsdatum
01.04.2008
Verlag
D. Steinkopff-Verlag
Erschienen in
Clinical Research in Cardiology / Ausgabe 4/2008
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692
DOI
https://doi.org/10.1007/s00392-007-0620-y

Weitere Artikel der Ausgabe 4/2008

Clinical Research in Cardiology 4/2008 Zur Ausgabe

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.