Archives of the Turkish Society of Cardiology
Angiographic characteristics of coronary artery fistulas [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(5): 456-460 | DOI: 10.5543/tkda.2014.66281

Angiographic characteristics of coronary artery fistulas

Cemal Tuncer1, Beyhan Eryonucu2, Talantbek Batyraliev3, Mustafa Gokce4, Remzi Yilmaz5, Murat Akkoyun1, Gürkan Acar1
1Department of Cardiology, Sutcu Imam University, Faculty of Medicine, Kahramanmaras
2Department of Cardiology, Turgut Ozal University Faculty of Medicine, Ankara
3Department of Cardiology, Sani Konukoglu Hospital, Gaziantep
4Department of Cardiology, Karadeniz Teknik University Faculty of Medicine, Trabzon
5Department of Cardiology, Osm Hospital, Sanliurfa


OBJECTIVES
Coronary artery fistula (CAF) in adults is a rare form of coronary artery anomaly. It is often diagnosed incidentally during coronary angiography. The aim of this study was to evaluate the clinical and angiographic characteristics of adult patients with CAF.

STUDY DESIGN
We retrospectively reviewed the database of 70,850 patients who had undergone coronary angiography in five different invasive cardiology centers in the southeastern region of Turkey. Among them, 56 patients had CAF (39 males, 17 females, mean age: 63.7±10.4 years). Demographic data, clinical evaluation and cardiac catheterization reports were reviewed from the medical records.

RESULTS
A total of 58 fistulas were detected in 56 patients; two patients (3.6%) had bilateral fistulas originating from both the left and right coronary artery. In our angiographic series, CAF prevalence was 0.08%. Dyspnea on exertion and/or angina pectoris was the most common symptom (69%). Fifteen patients (26.8%) had concomitant obstructive coronary artery disease. Coronary artery fistulas originated mainly from the left anterior descending artery (n=30, 51.7%). Others originated from the right coronary artery (n=15, 25.9%), circumflex artery (n=6, 10.3%), and right sinus of Valsalva (n=3, 5.2%). In four patients (n=4, 7.1%), multiple micro fistula were draining into the left ventricle.

CONCLUSION
In our angiographic series, the prevalence of CAF was 0.08%, and the most common site of origin was the left anterior descending artery.

Keywords: Cardiac catheterization, coronary angiography; coronary vessel anomalies/diagnosis; fistula/diagnosis.

How to cite this article
Cemal Tuncer, Beyhan Eryonucu, Talantbek Batyraliev, Mustafa Gokce, Remzi Yilmaz, Murat Akkoyun, Gürkan Acar. Angiographic characteristics of coronary artery fistulas. Turk Kardiyol Dern Ars. 2014; 42(5): 456-460

Corresponding Author: Gürkan Acar, Türkiye
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