Coronary-cameral fistulas in adults (first of two parts)

Table 1 Data of adult patients with congenital coronary artery-ventricular multiple micro-fistulas and solitary macro fistulas

Case Age/gender	Clinical presentation	Previous history	Concomitant disorders	MMFs fistula	ECG	Echocardiography	Myocardial perfusion test	Management
1, 44M	CP	TIA/Lyme disease	-	D-LV Unilateral 0-VD	SR	N	-	CMM
2, 73M	CP	SSS	COPD/RR/GN	D-LV dRCA-LV Bilateral 0-VD (Figure 1 A and B)	SR	N	Apical ischemic changes	CMM, DDDR
3, 62F	NSTEMI	-	-	D-LV dRCA-LV Bilateral 0-VD	SR	N	-	CMM
4, 45F	CP	-	RR	D-LV dRCA-LV Bilateral 0-VD	SR	N	-	CMM
5, 65F	AP	Old IMI/ breast carcinoma	COPD/RR/hypothyroidism	Cx-LV dRCA-LV Bilateral 1-VD	SR old IMI	Hypokinesia inferior	Mid baso-inferior EF 60%	CMM, PCI RCA
6, 62M	AP	-	RR	D-LV Unilateral 3-VD	SR	Anterolateral hypokinesia	-	CMM, CABG
						and apical akinesia
7, 70F	CP	TIA	-	AL-LV Unilateral 0-VD	SR	N	Negative	CMM
8, 65M	AP	Old IMI	DM/OSAS	RCA-RV Unilateral 1-VD	SR icRBBB	N	-	CMM
9, 79F	AP	-	RR	LAD-LV RCA-LV Bilateral 0-VD	SR LVH	LVH	-	CMM
10, 64F	DOE	Old ILMI	AF/AR/epilepsy	Cx-LV RCA-LV Bilateral 0-VD	AF LBBB	Moderate LV	-	CMM, AVR
						systolic function
11, 52M	DOE	MR/MVP/PAF	RR	Solitary macro CCF RCA-RA	SR RBBB	Severe MR	-	MVR/PVI/SL

AR: Aortic regurgitation; AL: Anterolateral branch; AP: Angina pectoris; AVR: Aortic valve replacement; CABG: Coronary artery bypass grafting; CP: Chest pain; CMM: Conservative medical management; COPD: Chronic obstructive pulmonary disease; Cx: Circumflex coronary artery; d: Distal; D: Diagonal branch; DM: diabetes mellitus; DOE: Dyspnoea on exertion; EF: Ejection fraction; F: Female; GN: Glomerulonephritis; ic: Incomplete; ILMI: Infero-lateral myocardial infarction; IMI: Inferior myocardial infarction; LAD: Left anterior descending coronary artery; LBBB: Left bundle branch block; LV: Left ventricle; LVH: Left ventricular hypertrophy; M: Male; MMFs: Coronary artery-ventricular multiple micro-fistulas; MR: Mitral regurgitation; MVP: Mitral valve plasty; MVR: Mitral valve replacement; N: Normal; NSTEMI: Non-ST elevation myocardial infarction; OSAS: Obstructive sleep apnoea syndrome; PCI: Percutaneous coronary intervention; PAF: Paroxysmal atrial fibrillation; PVI: Pulmonary vein isolation; RA: Right atrium; RBBB: Right bundle branch block; RCA: Right coronary artery; RR: Hypertension; SL: Surgical ligation; SR: Sinus rhythm; SSS: Sick sinus syndrome; TIA: Transient ischemic attack; VD: Vessel disease.