Copyright
©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Cardiol. Sep 26, 2013; 5(9): 329-336
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.329
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.329
Coronary-cameral fistulas in adults (first of two parts)
Salah AM Said, Department of Cardiology, Hospital Group Twente, 7555 DL Hengelo, The Netherlands
Rikke HM Schiphorst, Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, 7513 ER Enschede, The Netherlands
Richard Derksen, Department of Cardiology, Rijnstate Hospital, 6815 AD Arnhem, The Netherlands
Lodewijk Wagenaar, Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, 7513 ER Enschede, The Netherlands
Author contributions: Said SAM, Schiphorst RHM and Derksen R contributed to this paper; Schiphorst RHM collected the data; Derksen R provided the case with coronary cameral fistula; Said SAM prepared the manuscript and the literature review; Wagenaar L revised the manuscript; All authors have approved the final review of the paper.
Correspondence to: Salah AM Said, MD, PhD, FESC, Department of Cardiology, Hospital Group Twente, Geerdinksweg 141, 7555 DL Hengelo, The Netherlands. samsaid@home.nl
Telephone: +31-74-2905286 Fax: +31-74-2905289
Received: May 24, 2013
Revised: July 5, 2013
Accepted: August 28, 2013
Published online: September 26, 2013
Revised: July 5, 2013
Accepted: August 28, 2013
Published online: September 26, 2013
Core Tip
Core tip: A case series and review of the literature adding 11 new cases. A total of 243 adult patients were identified who had congenital (65%) or acquired (35%) coronary-cameral fistulas. Of the congenital group, 56% were small or large solitary macro CCFs (cut-off 1.5 mm) and 9% were coronary artery-ventricular multiple micro-fistulas (MMFs). T-waves were inverted in the anterior precordial leads in 38% and apical hypertrophic cardiomyopathy was reported in 13% of the subjects. Conservative medical management was generally the treatment of choice in congenital MMFs; prophylactic implantable cardioverter defibrillators were implanted in 8% of subjects, especially when extensive micro-fistulisations were involved.