Abstract
An: 2011, Nr.3, Articol Nr. 19
Title:
CORONARY FISTULAE: POPULATIONAL INCIDENCE, ANATOMIC AND PHYSIOPATHOLOGICAL DEBATES
Authors:
Cezara-Elena Raileanu - Cardiovascular Disease Institute “Prof. Dr. George I.M. Georgescu” Iaşi; Physical student at University of Medicine and Pharmacy “Gr.T. Popa” Iaşi
I.V. Nedelciuc - Cardiovascular Disease Institute “Prof. Dr. George I.M. Georgescu” Iaşi
C. Statescu, Cătălina Arsenescu-Georgescu - University of Medicine and Pharmacy “Gr.T. Popa” Iaşi; Cardiovascular Disease Institute “Prof. Dr. George I.M. Georgescu” Iaşi
CORONARY FISTULAE: POPULATIONAL INCIDENCE, ANATOMIC AND PHYSIOPATHOLOGICAL DEBATES (Abstract): Introduction. Coronary fistulas are one of the most common and major anomaly of the coronary blood flow. They represent aberrant communication between coronary arteries and other cardiac structures and could be congenital or acquired. They can promote cardiovascular disease throughout their own physiopathological mechanisms. Material and methods: We studied 8772 coronarographies made in eight years (2003-2010) in our clinic and the target was to establish the angiographic incidence of the anomaly and to point out some anatomic and clinical features of coronary fistulas. Results: There were found 21 cases of these type of anomaly (incidence of 0,24%), all being congenital. The distribution of affected cardiac structures was almost equal: 48% coronary artery- cardiac chambers, 52 % coronary artery-other vessels, with the prevalence of fistula between LAD-AP (33,3%). The main generated symptoms were angina pectoris and cardiac failure. Conclusions: Coronary fistulas are rare anatomic anomalies, able to promote cardiovascular disease due to their own physiopathological mechanisms that depend on the affected cardiac structures.
Key words: CORONARY ARTERY FISTULAE, CONGENITAL CORONARY DISEASES, ANGINA PECTORIS