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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Coronary artery fistula

Yash Pradeep Vaidya1, Gary Randall Green2

  • 1Department of Surgery, SUNY Upstate Medical University, Syracuse, New York.

Journal of Cardiac Surgery
|September 27, 2019
PubMed

Insights

Coronary artery fistula, a rare condition causing myocardial ischemia, has advanced diagnostic and management options. This review covers surgical and minimally-invasive techniques for treating these abnormal coronary artery connections.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery fistula is a rare anomaly involving abnormal connections between coronary arteries and cardiac chambers/vessels.
  • This condition can lead to coronary steal phenomenon and myocardial ischemia.
  • Diagnostic modalities for coronary artery fistula are continuously advancing.

Purpose of the Study:

  • To summarize the current approach to managing coronary artery fistula.
  • To review established and emerging treatment strategies.

Main Methods:

  • This study is a comprehensive review of existing literature.
  • The review focuses on management strategies for coronary artery fistula.

Main Results:

  • Various surgical options for treating coronary artery fistulas are discussed, including techniques for specific fistula types.
  • Minimally-invasive options and trans-catheter closure methods are also detailed.

Conclusions:

  • The review highlights the diverse treatment modalities available for coronary artery fistula.
  • Indications for surgical, minimally-invasive, and trans-catheter closure are presented.
Abstract

Keywords:
cardiovascular pathologyclinical reviewcoronary artery disease

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