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Anomalous Termination of Coronary Arteries

  • Randy Ray Richardson
Chapter

Abstract

Coronary artery fistulas are anomalies of termination of the coronary arteries. Coronary artery fistulas are defined by a direct precapillary connection between a branch of a coronary artery and the lumen of a chamber of the heart or great vessel, typically pulmonary artery or inferior vena cava (IVC). These fistulas more commonly terminate in a lower pressure chamber of the heart such as the right ventricle or right atrium or a low-pressure great vessel such as the pulmonary artery or IVC. The coronary fistula to the right ventricle is most common (41%) [1] with termination into the right atrium accounting for 26% and pulmonary artery 17% [1].

Keywords

Coronary fistulas Coronary sinusoids Pulmonic atresia 

References

  1. 1.
    Andropoulos DB, Gottlieb EA. Pulmonary atresia with intact ventricular septum. In: Gatzoulis M, Webb G, Daubeney P, editors. Diagnosis and management of adult congenital heart disease. 2nd ed. London: Churchill Livingstone; 2012. p. 339–46.Google Scholar

Suggested Reading

  1. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol. 2006;107(1):7–10.CrossRefGoogle Scholar
  2. Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M. Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg. 1997;63(5):1235–42.CrossRefGoogle Scholar
  3. Schmitt R, Froehner S, Brunn J, Wagner M, Brunner H, Cherevatyy O, et al. Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multi-detector computed tomography. Eur Radiol. 2005;15(6):1110–21. Epub 2005 Mar 9CrossRefGoogle Scholar
  4. Schumacher G, Roithmaier A, Lorenz HP, Meisner H, Sauer U, Müller KD, et al. Congenital coronary artery fistula in infancy and childhood: diagnostic and therapeutic aspects. Thorac Cardiovasc Surg. 1997;45(6):287–94.CrossRefGoogle Scholar
  5. Shirani J, Brofferio A. Isolated coronary artery anomalies. http://www.emedicine.com/med/topic445.htm. March 13, 2008.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Randy Ray Richardson
    • 1
  1. 1.Creighton University School of Medicine, St. Joseph’s Hospital and Medical CenterPhoenixUSA

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