Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Coronary Cameral Fistula Disclosed by Echocardiography: A Case Report of Typical Findings and Literature Review

Author(s): Wan Khey Chan, Yi Yao Chang and Ai Hsien Li*

Volume 20, 2024

Published on: 14 April, 2023

Article ID: e150323214635 Pages: 5

DOI: 10.2174/1573405619666230315104901

open_access

Open Access Journals Promotions 2
Abstract

Background: Coronary cameral fistula is a rare cardiovascular anomaly, and usually needs advanced image modalities, such as computerized tomography and/or angiography, to confirm its existence. A few reports in the literature have addressed the role of medical ultrasound in the diagnosis of this disease, without a comprehensive summary of all the valuable echocardiographic features in its diagnosis.

Case Presentation: Hereby, we presented an 80-year-old lady with exertional dyspnea and angina. We diagnosed coronary cameral fistula from the left anterior descending artery into the left ventricle by echocardiography with “intramyocardial vascular channel and the diastolic flow”, and “multiple diastolic flow jets into heart chamber from heart wall”. We confirmed the diagnosis with coronary angiography later. In the discussion, we make a comprehensive summary to conclude all the echocardiographic findings of this disease into 3 categories.

Conclusion: We believe the identification of those findings will prompt the early diagnosis of this rare anomaly.

Keywords: Coronary cameral fistula, Echocardiography, Ultrasonography, Congenital heart disease, Angina, Myocardium.

[1]
Mangukia CV. Coronary artery fistula. Ann Thorac Surg 2012; 93(6): 2084-92.
[http://dx.doi.org/10.1016/j.athoracsur.2012.01.114] [PMID: 22560322]
[2]
Lim J J, Jung J I, Lee B Y, Lee H G. Prevalence and types of coronary artery fistulas detected with coronary CT angiography. AJR Am J Roentgenol 2014; 203(3): W237-43.
[http://dx.doi.org/10.2214/AJR.13.11613]
[3]
Kalisz K, Sanders AE, Avery R, Allen BD. Coronary artery fistulas: A review of the current and future roles of imaging. J Thorac Imaging 2020; 36(6): 333-44.
[http://dx.doi.org/10.1097/RTI.0000000000000557] [PMID: 32890125]
[4]
Banerjee S, Patra S. Coronary–cameral fistula caused by guidewire trauma and resolved by coil embolization. Tex Heart Inst J 2016; 43(4): 338-40.
[http://dx.doi.org/10.14503/THIJ-15-5177] [PMID: 27547147]
[5]
Wu YH, Li TY, Lin YJ, et al. Mid-term follow-up of transcatheter closure for coronary cameral fistula in pediatrics. Zhonghua Minguo Xinzangxue Hui Zazhi 2021; 37(1): 58-64.
[http://dx.doi.org/10.6515/ACS.202101_37(1).20200730B] [PMID: 33488028]
[6]
Lim KE, Tsai KT, Ko Y-L. Multidetector-row computed tomography in diagnosis of a large right coronary artery aneurysm resulting from arteriovenous fistula. Zhonghua Minguo Xinzangxue Hui Zazhi 2008; 24: 47-50.
[7]
Detorakis E, Foukarakis E, Karavolias G, Dermitzakis A. Cardiovascular magnetic resonance and computed tomography in the evaluation of aneurysmal coronary-cameral fistula. J Radiol Case Rep 2015; 9(7): 10-21.
[http://dx.doi.org/10.3941/jrcr.v9i7.2305] [PMID: 26629294]
[8]
Saboo SS, Steigner M, Ghosh N, Ho C, Groarke JD. Multimodality non-invasive imaging of a coronary cameral fistula. Eur Heart J Cardiovasc Imaging 2014; 15(2): 231.
[http://dx.doi.org/10.1093/ehjci/jet172] [PMID: 24084516]
[9]
Padfield GJ. A case of coronary cameral fistula. Eur Heart J Cardiovasc Imaging 2009; 10(5): 718-20.
[http://dx.doi.org/10.1093/ejechocard/jep049] [PMID: 19414488]
[10]
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: A report of the american college of cardiology/american heart association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008; 118(23): e714-833.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.108.190690] [PMID: 18997169]
[11]
Peighambari M, Pakbaz M, Alizadehasl A, Hosseini S, Pouraliakbar H. A case of coronary cameral fistula: When and how to intervene? J Tehran Univ Heart Cent 2021; 15(4): 189-94.
[http://dx.doi.org/10.18502/jthc.v15i4.5946] [PMID: 34178089]
[12]
Nkya DA, Sinyangwe G, Takawira FF. Transcatheter occlusion of giant congenital coronary cameral fistulae: A case series. J Med Case Reports 2019; 13(1): 307.
[http://dx.doi.org/10.1186/s13256-019-2254-x] [PMID: 31601276]
[13]
Arslan B, Oylumlu M, Tekbaş E, Kaya H. Multimodality imaging of huge coronary cameral fistula. Anatol J Cardiol 2017; 17(5): E4.
[http://dx.doi.org/10.14744/AnatolJCardiol.2017.7806] [PMID: 28529284]
[14]
Mittal UK, Garg L, Rissam HK, Puri SK. A case of coronary cameral fistula with associated aneurysm: Role of ecg gated 256- slice dual source multidetector computed tomography in diagnosis. J Clin Diagn Res 2016; 10(5): TD01-2.
[http://dx.doi.org/10.7860/JCDR/2016/18720.7797] [PMID: 27437325]
[15]
Chugh Y, Chugh S, Chugh S. The dilemma of evaluating a continuous murmur in a patient of aneurysm of sinus of Valsalva and coronary cameral fistula presenting with supraventricular tachycardia. BMJ Case Rep 2015; 2015: bcr2014207197.
[http://dx.doi.org/10.1136/bcr-2014-207197] [PMID: 25568273]
[16]
Jamil G, Khan A, Malik A, Qureshi A. Aneurysmal coronary cameral fistula. BMJ Case Rep 2013; 2013: bcr2013008649.
[http://dx.doi.org/10.1136/bcr-2013-008649] [PMID: 23737570]
[17]
Zhang CC, Hu LX, Guo DW, Ling ML. Two giant congenital aneurysms of the left anterior descending coronary artery with right ventricle fistula: Diagnosis based on two-dimensional echocardiography and magnetic resonance imaging. J Clin Ultrasound 1990; 18(7): 601-5.
[http://dx.doi.org/10.1002/jcu.1870180716] [PMID: 2170463]
[18]
Singh BK, Fahdi IE, Kishan CV, Mehta JL. Shooting stars in the ventricle: 2-D color doppler echocardiographic findings of coronary cameral fistula. Clin Cardiol 2003; 26(6): 286.
[http://dx.doi.org/10.1002/clc.4950260609] [PMID: 12839047]
[19]
Nabais S, Salomé N, Brandão A, et al. Coexistence of coronary cameral fistulae and cor triatriatum sinister in an elderly patient. Eur Heart J Cardiovasc Imaging 2008; 9(5): 712-5.
[http://dx.doi.org/10.1093/ejechocard/jen140] [PMID: 18490293]
[20]
Arslan S, Gurlertop Y, Elbey MA, Karakelleoglu S. Multiple coronary-cameral fistulae causing angina pectoris. Tex Heart Inst J 2009; 36(6): 622-3.
[PMID: 20069097]
[21]
Jacob S, Feigenbaum H. Acquired coronary-cameral fistula. Clin Cardiol 2009; 32(8): E70.
[http://dx.doi.org/10.1002/clc.20507] [PMID: 19610122]
[22]
Kupsky D, Koenig G, Modi S. Coronary-cameral fistula: Preliminary diagnosis according to colour and continuous wave doppler echocardiography. Can J Cardiol 2018; 34(5): 690.e9-690.e10.
[http://dx.doi.org/10.1016/j.cjca.2018.01.090]
[23]
Sonkar SK, Kumar A. Coronary cameral fistula - a rare cause of angina pectoris in a young patient. J Assoc Physicians India 2020; 68(6): 64-5.
[PMID: 32610885]
[24]
Upadhyay R, Gargava A, Prabhu V, Sarkar M, Ramteke JH. Coronary cameral fistula and its complications: A case report. Ann Card Anaesth 2020; 23(4): 496-8.
[http://dx.doi.org/10.4103/aca.ACA_140_19]
[25]
Wolking S, Palmer C, Smith T, et al. Coronary cameral fistula from left circumflex artery to left atrium identified by three-dimensional transesophageal echocardiography. CASE 2020; 4(5): 365-8.
[http://dx.doi.org/10.1016/j.case.2020.05.013] [PMID: 33117930]
[26]
Agrawal DP, Joshi AS, Nm S. The curious case of coronary cameral fistula with infective endocarditis: A rare harbinger of a common clinical entity. Turk Gogus Kalp Damar Cerrahisi Derg 2021; 29(2): 248-51.
[http://dx.doi.org/10.5606/tgkdc.dergisi.2021.21129] [PMID: 34104519]
[27]
Buzaev IV, Plechev VV, Khalikova G, Khabirova K, Nikolaeva IE, Onorato EM. Case report: Coil occlusion of two congenital coronary cameral fistulas connecting right and left circumflex arteries to the right ventricle: An innovative stent-assisted technique. Front Cardiovasc Med 2022; 8: 769235.
[http://dx.doi.org/10.3389/fcvm.2021.769235] [PMID: 35155596]
[28]
Zhao L. Prenatal diagnosis of fetal isolated right coronary artery to left ventricle fistula. Echocardiography 2019; 36(5): 1009-13.
[http://dx.doi.org/10.1111/echo.14340]
[29]
Baschat AA, Love JC, Stewart PA, Gembruch U, Harman CR. Prenatal diagnosis of ventriculocoronary fistula. Ultrasound Obstet Gynecol 2001; 18(1): 39-43.
[http://dx.doi.org/10.1046/j.1469-0705.2001.00438.x] [PMID: 11489224]
[30]
Wacker-Gussmann A, Esser T, Lobmaier SM, Vogt MO, Ostermayer E, Oberhoffer R. Prenatally diagnosed isolated coronary arterial fistula leading to severe complications at birth. Case Rep Cardiol 2018; 2018: 1-3.
[http://dx.doi.org/10.1155/2018/2509502] [PMID: 29780642]
[31]
Hung JH, Lu JH, Hung J, Chen JD. Prenatal diagnosis of a right coronary-cameral fistula. J Ultrasound Med 2006; 25(8): 1075-8.
[http://dx.doi.org/10.7863/jum.2006.25.8.1075] [PMID: 16870902]
[32]
Chen MA. Noncompaction cardiomyopathy and multiple coronary–cameral fistulae in an octogenarian. J Cardiol Cases 2020; 21(6): 227-30.
[http://dx.doi.org/10.1016/j.jccase.2020.02.003] [PMID: 32547659]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy