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Article: Coronary artery fistulas: long-term results of surgical correction

TitleCoronary artery fistulas: long-term results of surgical correction
Authors
Keywordsadolescent
adult
angiocardiography
child
coronary artery fistula
Issue Date2001
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/athoracsur
Citation
The Annals of Thoracic Surgery, 2001, v. 71 n. 1, p. 190-195 How to Cite?
AbstractBackground. Opinions vary as to whether operation should be offered patients with coronary artery fistula, particularly to those who are asymptomatic. Published studies lacked long-term follow-up data. Methods. We studied 41 patients with coronary artery fistula operated in our unit in the past 30 years with restudies including coronary angiograms in those who agreed to the investigation. Results. There was no operative mortality and operative morbidity was low. The mean duration of follow-up was 9.1 years and 96.9% of the patients were asymptomatic. Twenty-one patients had a coronary angiogram. The native coronary artery either remained dilated and tortuous, or more frequently had thromboses with a short proximal stump. (None of these patients had evidence of myocardial ischemia.) Four patients had demonstrable recurrence fistula but without hemodynamic disturbance. Conclusions. We advocate operation for all patients with coronary artery fistulas and demonstrable shunting in view of minimal operative risks. Small asymptomatic fistulas without demonstrable shunting should be left alone. The relatively high incidence of residual or recurrent fistula makes long-term follow-up mandatory.
DescriptionLink to Free access
Persistent Identifierhttp://hdl.handle.net/10722/283420
ISSN
2023 Impact Factor: 3.6
2023 SCImago Journal Rankings: 1.203
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, DLC-
dc.contributor.authorAu, WK-
dc.contributor.authorCheung, HHC-
dc.contributor.authorChiu, CSW-
dc.contributor.authorLee, WT-
dc.date.accessioned2020-06-22T02:56:11Z-
dc.date.available2020-06-22T02:56:11Z-
dc.date.issued2001-
dc.identifier.citationThe Annals of Thoracic Surgery, 2001, v. 71 n. 1, p. 190-195-
dc.identifier.issn0003-4975-
dc.identifier.urihttp://hdl.handle.net/10722/283420-
dc.descriptionLink to Free access-
dc.description.abstractBackground. Opinions vary as to whether operation should be offered patients with coronary artery fistula, particularly to those who are asymptomatic. Published studies lacked long-term follow-up data. Methods. We studied 41 patients with coronary artery fistula operated in our unit in the past 30 years with restudies including coronary angiograms in those who agreed to the investigation. Results. There was no operative mortality and operative morbidity was low. The mean duration of follow-up was 9.1 years and 96.9% of the patients were asymptomatic. Twenty-one patients had a coronary angiogram. The native coronary artery either remained dilated and tortuous, or more frequently had thromboses with a short proximal stump. (None of these patients had evidence of myocardial ischemia.) Four patients had demonstrable recurrence fistula but without hemodynamic disturbance. Conclusions. We advocate operation for all patients with coronary artery fistulas and demonstrable shunting in view of minimal operative risks. Small asymptomatic fistulas without demonstrable shunting should be left alone. The relatively high incidence of residual or recurrent fistula makes long-term follow-up mandatory.-
dc.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/athoracsur-
dc.relation.ispartofThe Annals of Thoracic Surgery-
dc.subjectadolescent-
dc.subjectadult-
dc.subjectangiocardiography-
dc.subjectchild-
dc.subjectcoronary artery fistula-
dc.titleCoronary artery fistulas: long-term results of surgical correction-
dc.typeArticle-
dc.identifier.emailAu, WK: auwkt@hkucc.hku.hk-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0003-4975(00)01862-2-
dc.identifier.pmid11216744-
dc.identifier.scopuseid_2-s2.0-0035139102-
dc.identifier.hkuros310487-
dc.identifier.volume71-
dc.identifier.issue1-
dc.identifier.spage190-
dc.identifier.epage195-
dc.identifier.isiWOS:000166457600047-
dc.publisher.placeUnited States-
dc.identifier.issnl0003-4975-

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