Official journal of the Slovak Society of Cardiology,
Slovak Society of Hypertension and Slovak Association for Cardiac Arrhythmias

Cardiology Letters 2024, 33(3):187-190

Surprising coronarography finding in heart transplant patient

Lukáš Kučera1, Martin Gočár3, Anton Dlesk1, Jana Poláková Mištinová2, Eva Goncalvesová1
1 Kardiologická klinika LFUK a NÚSCH, a. s., Bratislava
2 Klinika diagnostickej a intervenčnej rádiológie NÚSCH, a. s., Bratislava
3 Oddelenie intervenčnej kardiológie NÚSCH, a. s., Bratislava, Slovenská republika

Coronary-ventricular fistulas are considered to be an uncommon anomaly of the coronary arteries in the general population. In heart transplant patients, the incidence is higher due to repeated endomyocardial biopsies. We present a case of a patient 9 years after heart transplantation who underwent coronary angiography for suspected acute coronary syndrome. Coronary angiography revealed a coronary-ventricular fistula. The management of these anomalies depends on the severity of the fistula.

Keywords: heart transplantation; coronarography; cardiac magnetic resonance

Published: March 1, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kučera L, Gočár M, Dlesk A, Poláková Mištinová J, Goncalvesová E. Surprising coronarography finding in heart transplant patient. Cardiology Letters. 2024;33(3):187-190.
Download citation

References

  1. Sandhu J, Uretsky B, Zerbe T, Goldsmith A, Reddy P, Kormos R, et al. Coronary artery fistula in the heart transplant patient: a potential complication of endomyocardial biopsy. Circulation. 1989;79:350-356. Go to original source...
  2. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol. 2006;107:7-10. Go to original source...
  3. Ata Y, Turk T, Bicer M, Yalcin M, Ata F, Yavuz S. Coronary arteriovenous fistulas in the adults: natural history and management strategies. J Cardiothorac Surg. 2009;4:62. Go to original source...
  4. Al-Hijji M, El Sabbagh A, El Hajj S, AlKhouli M, El Sabawi B, Cabalka A, et al. Coronary Artery Fistulas: Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure. JACC Cardiovasc Interv. 2021;14:1393-1406. Go to original source...