Cor Vasa 2024, 66(4):448-451 | DOI: 10.33678/cor.2024.023

Coronary Artery Fistula As An Unexpected Cause of Heart Failure: A Case Report

Andrianto, Alqi Yutha, Primasitha Maharany Harsoyo
Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia

Coronary artery fistulae (CAF) are uncommon epicardial connections between coronary vessels and either a heart chamber, known as coronary cameral fistula (CCF), or the major vessels of the heart, such as pulmonary arteries or veins. Most patients remain asymptomatic in the first two decades, thus making their presence all the more concealed. Following the third decade, occurrence of both symptoms and complications rises. The primary pathophysiological issue in coronary fistulae is believed to be the coronary steal phenomenon. The symptoms experienced are contingent on the extent of steal or shunt. We report the case of a 70-year-old man presenting with symptoms of heart failure, subsequently diagnosed with a coronary artery fistula through angiography.

Keywords: Angiography, Coronary artery fistula, Heart failure, Steal phenomenon

Received: February 13, 2024; Revised: February 13, 2024; Accepted: March 9, 2024; Prepublished online: June 2, 2012; Published: September 9, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Andrianto, Yutha A, Harsoyo PM. Coronary Artery Fistula As An Unexpected Cause of Heart Failure: A Case Report. Cor Vasa. 2024;66(4):448-451. doi: 10.33678/cor.2024.023.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Challoumas D, Pericleous A, Dimitrakaki IA, et al. Coronary arteriovenous fistulae: a review. Int J Angiol 2014;23:1-10. Go to original source... Go to PubMed...
    2. Raufi MA, Baig AS. Coronary artery fistulae. Rev Cardiovasc Med 2014;15:152-157. Go to original source... Go to PubMed...
    3. Said SA. Current characteristics of congenital coronary artery fistulas in adults: a decade of global experience. World J Cardiol 2011;3:267-277. Go to original source... Go to PubMed...
    4. Qureshi SA. Coronary arterial fistulas. Orphanet J Rare Dis 2006;1:51. Go to original source... Go to PubMed...
    5. Hobbs RE, Millit HD, Raghavan PV, et al. Coronary artery fistulae: a 10-year review. Cleve Clin Q 2011;49:191-197. Go to original source... Go to PubMed...
    6. Bauer HH, Allmendinger PD, Flaherty J, et al. Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. Ann Thorac Surg 2006;62:1521-1523. Go to original source... Go to PubMed...
    7. Said SAM, Werf T. Dutch Survey of Coronary Artery Fistulas in Adults: Congenital Solitary Fistulas Multicentre observational survey in the Netherlands. Coronary Artery Fistulas in Adults Clinical and Coronary Angiographic Aspects 2007;106:105. Go to original source... Go to PubMed...
    8. Loukas M, Germain AS, Gabriel A, et al. Coronary artery fistula: a review. Cardiovasc Pathol 2015;24:141-148. Go to original source... Go to PubMed...
    9. Buccheri D, Chirco PR, Geraci S, et al. Coronary artery fistulae: anatomy, diagnosis and management strategies. Heart Lung Circ 2018;27:940-951. Go to original source... Go to PubMed...
    10. Yun G, Nam TH, Chun EJ, et al. Coronary artery fistulas: pathophysiology, imaging findings, and management. Radiographics 2018;38:688-703. Go to original source... Go to PubMed...
    11. Almazini P, Rahman A, Yaniarti D, et al. Coronary Artery Fistula, an Unusual Cause of Chest Pain in Adult: Role of Computed Tomography Angiography. Jurnal Kardiologi Indonesia 2015;36(4). Go to original source...
    12. Loukas M, Germain AS, Gabriel A, et al. Coronary artery fistula: a review. Cardiovasc Pathol 2015;24:141-148. Go to original source... Go to PubMed...
    13. Schmid M. Visualization of coronary artery anomalies by contrast-enchanced multi-detector row spiral computed tomography. Int J Cardiol 2005;111:430-435. Go to original source... Go to PubMed...
    14. Armsby LR, Keane JF, Sherwood MC, et al. Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol 2002;39:1026-1032. Go to original source... Go to PubMed...
    15. Al-Hijji M, El Sabbagh A, El Hajj S, et al. Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure. JACC Cardiovasc Interv 2021;14:1393-1406. Go to original source... Go to PubMed...
    16. Sunkara A, Chebrolu LH, Chang SM, Barker C. Coronary Artery Fistula. Methodist Debakey Cardiovasc J 2017;13:78-80. Go to original source... Go to PubMed...
    17. Bruckheimer E, Harris M, Kornowski R. Transcatheter closure of large congenital coronary-cameral fistulae with Amplatzer devices. Catheter Cardiovasc Interv 2010;75:850-854. Go to original source... Go to PubMed...
    18. Reddy G, Davies JE, Holmes DR, et al. Coronary artery fistulae. Circulation 2015;8:850. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content


    Cor et Vasa

    You are accessing a site intended for medical professionals, not the lay public. The site may also contain information that is intended only for persons authorized to prescribe and dispense medicinal products for human use.

    I therefore confirm that I am a healthcare professional under Act 40/1995 Coll. as amended by later regulations and that I have read the definition of a healthcare professional.


    No
    Yes