NUK - logo
National and University Library, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Prirojene arteriovenske koronarne fistule = Congenital coronary artery fistulae
    Cijan, Andrej, 1937-2020
    Background. Congenital anomalies of coronary arteries occur in 1-2% of the population. Coronary artery fistula (CAF) comprise 48% all congenital anomalies. They can be complicated by intracardiac ... shunts, endocarditis, myocardial infarction or coronary aneurisms. In most cases, this anomaly is found by chance by coronary arteriography, which is considered to be the most reliable method for making correct diagnosis. Patients and methods. This paperdescribes the clinical picture of CAF, diagnostic procedures and results in our catheterization laboratory. An overal incidens was 0.12%. From year 1982 to 1999 we detected 13 patients with CAF, 7 patients in last 4 years, as the result of more intensive diagnostic procedure and better technology. In patient angina pectoris was the leading symptom, except 2 patients who undewent diagnostic catheterization and coronary arteriography owing to the mitral valve disease. In 2 patients left to right shunt was detected of greater mangitude. 4 patients has fistula alone and in 1 patient we found multiple fistulas. 7 patients were surgicaly treated. There were no operative or late death. No patients has residual or recurrent coronary arteryfistula asnoted by late evaluation. In 4 patients coronary angioplasty was done. 2 patients remain on therapy with medicaments. We present in this paper also thethree interesting cases with CAF and coronary artery disease. Conclusions. To prevent catastrophic outcomes, surgical treatment of CAF in adults should be performed whenever the precise diagnosis has been established. In the youngpatients a percutaneous closure of fistula is possible.
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 68, št. 10, okt. 1999, str. 563-567)
    Type of material - article, component part
    Publish date - 1999
    Language - slovenian
    COBISS.SI-ID - 10548953

Shelf entry