Surgical Management of Coronary Arteriovenous Fistula in Patients Presenting with Acute Coronary Syndrome—A Local University Hospital 6 Years ExperienceReportar como inadecuado




Surgical Management of Coronary Arteriovenous Fistula in Patients Presenting with Acute Coronary Syndrome—A Local University Hospital 6 Years Experience - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Background: Anomalies of the coronary arteries are uncommon, usually discovered incidentally during diagnostic cardiac catheterization or cardiac computed tomography CCT. Coronary artery fistula CAF is one of the varieties of coronary termination anomalies. Some of CAF patients have symptoms of myocardial ischemia. Methods: In King Abdulaziz university hospital KAUH over six years period, five patients presented with acute coronary syndrome ACS and were diagnosed to have CAF by cardiac catheterization during the diagnostic workup of ischemic heart disease IHD, four males and one female, mean age 57.4 ± 6.6 years; four patients had CAF with associated coronary atherosclerotic disease CAD; one patient had large complex CAF with no significant CAD; all patients with CAD underwent closure-excision of the CAF with surgical revascularization; the patient with no CAD preferred surgical excision over endovascular intervention. Results: All patients had surgery with uneventful postoperative course and they were doing well with 3 to 7 years outpatient follow up. Conclusion: Surgical management is safe in patients with coronary artery anomalies presenting with ACS.

KEYWORDS

Congenital Coronary Vessels Anomalies, Coronary Arteriovenous Fistula, Myocardial Ischemia

Cite this paper

Jabbad, H. 2015 Surgical Management of Coronary Arteriovenous Fistula in Patients Presenting with Acute Coronary Syndrome—A Local University Hospital 6 Years Experience. World Journal of Cardiovascular Surgery, 5, 125-130. doi: 10.4236-wjcs.2015.512019.





Autor: Husain Jabbad

Fuente: http://www.scirp.org/



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