Coronary artery fistula draining into pulmonary artery and optimal management: a review.

Autor:	Rippel RA; Department of Cardiothoracic Surgery, UCLH The Heart Hospital, London, UK; UCL Division of Surgery and Interventional Science, University College London, London, UK., Kolvekar S; Department of Cardiothoracic Surgery, UCLH The Heart Hospital, London, UK; UCL Division of Surgery and Interventional Science, University College London, London, UK.
Jazyk:	angličtina
Zdroj:	Heart Asia [Heart Asia] 2013 Jan 25; Vol. 5 (1), pp. 16-7. Date of Electronic Publication: 2013 Jan 25 (Print Publication: 2013).
DOI:	10.1136/heartasia-2012-010169
Abstrakt:	Coronary artery fistula is a rare congenital malformation of high variability. The disease is illustrated with a description of a case example. The management of patients with coronary artery fistulas remains controversial. Both spontaneous regression and life threatening complications have been described. The fistula can be ligated or embolised; however, there are no long term outcome data regarding management. Intraoperative risk of myocardial infarction is less than 5% and death rate varies between 0% and 6%. Due to a small number of cases being described in the literature and a lack of evidence on optimal management, further research is needed in order to determine the best treatment options.
Databáze:	MEDLINE
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