Angiographic characteristics of coronary artery fistulas

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dc.authoridBatyraliev, Talantbek/0000-0003-4251-0327;
dc.contributor.authorTuncer, Cemal
dc.contributor.authorEryonucu, Beyhan
dc.contributor.authorBatyraliev, Talantbek
dc.contributor.authorGokce, Mustafa
dc.contributor.authorYilmaz, Remzi
dc.contributor.authorAkkoyun, Murat
dc.contributor.authorAcar, Gurkan
dc.date.accessioned2025-10-24T18:10:11Z
dc.date.available2025-10-24T18:10:11Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractObjectives: Coronary artery fistula (CAF) in adults is a rare form of coronary artery anomaly. It is often diagnosed incidentally during coronary angiography. The aim of this study was to evaluate the clinical and angiographic characteristics of adult patients with CAF. Study design: We retrospectively reviewed the database of 70,850 patients who had undergone coronary angiography in five different invasive cardiology centers in the southeastern region of Turkey. Among them, 56 patients had CAF (39 males, 17 females, mean age: 63.7 +/- 10.4 years). Demographic data, clinical evaluation and cardiac catheterization reports were reviewed from the medical records. Results: A total of 58 fistulas were detected in 56 patients; two patients (3.6%) had bilateral fistulas originating from both the left and right coronary artery. In our angiographic series, CAF prevalence was 0.08%. Dyspnea on exertion and/or angina pectoris was the most common symptom (69%). Fifteen patients (26.8%) had concomitant obstructive coronary artery disease. Coronary artery fistulas originated mainly from the left anterior descending artery (n=30, 51.7%). Others originated from the right coronary artery (n=15, 25.9%), circumflex artery (n=6, 10.3%), and right sinus of Valsalva (n=3, 5.2%). In four patients (n=4, 7.1%), multiple micro fistula were draining into the left ventricle. Conclusion: In our angiographic series, the prevalence of CAF was 0.08%, and the most common site of origin was the left anterior descending artery.
dc.identifier.doi10.5543/tkda.2014.66281
dc.identifier.endpage460
dc.identifier.issn1016-5169
dc.identifier.issue5
dc.identifier.pmid25080952
dc.identifier.scopus2-s2.0-84931062879
dc.identifier.scopusqualityQ3
dc.identifier.startpage456
dc.identifier.trdizinid162302
dc.identifier.urihttps://doi.org/10.5543/tkda.2014.66281
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/162302
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4027
dc.identifier.volume42
dc.identifier.wosWOS:000421946300007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Soc Cardiology
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives Of The Turkish Society Of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectCardiac catheterization; coronary angiography; coronary vessel anomalies/diagnosis; fistula/diagnosis
dc.titleAngiographic characteristics of coronary artery fistulas
dc.typeArticle

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