Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland. Electronic address: email:
Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, Kraków, Poland
Kardiol Pol. 2019 Nov 22;77(11):1034-1039. doi: 10.33963/KP.14963. Epub 2019 Sep 5.
Coronary artery fistula is defined as a connection between one or more coronary artery and a heart chamber.
The aim of the study was to determine the overall incidence of coronary artery fistulas in Polish patients undergoing diagnostic coronary artery angiography as well as the frequency of particular origin and draining sites.
The data were obtained from the Polish National Registry of Invasive Cardiology Procedures among patients hospitalized between January 1, 2014 and December 31, 2016 in invasive cardiology departments in Poland.
The study included 298 558 patients. A coronary artery fistula was present in 261 patients (0.087%). There were 131 women (50.19%) and 130 men (49.81%). The most frequent origin of a coronary artery fistula was the left anterior descending artery (167 cases, 59.22%). The pulmonary artery was the most frequent drainage site for fistulas originating from the left anterior descending artery and the right coronary artery (84 cases, 50.30% and 25 cases, 31.65%, respectively). Fistulas originating from the circumflex artery most frequently drained into another artery (10 cases, 27.78%).
The left anterior descending coronary artery was the origin site for more than half of all detected coronary artery fistulas. The pulmonary artery was the most frequent origin and drainage site for coronary artery fistulas.
冠状动脉瘘是指一条或多条冠状动脉与心脏腔室之间的连接。
本研究旨在确定在接受诊断性冠状动脉造影的波兰患者中冠状动脉瘘的总体发生率，以及特定起源和引流部位的频率。
该数据来自 2014 年 1 月 1 日至 2016 年 12 月 31 日期间波兰侵袭性心脏病学部门住院患者的波兰国家侵袭性心脏病学程序注册中心。
本研究纳入了 298558 例患者。261 例（0.087%）存在冠状动脉瘘。其中女性 131 例（50.19%），男性 130 例（49.81%）。冠状动脉瘘最常见的起源是左前降支（167 例，59.22%）。起源于左前降支和右冠状动脉的冠状动脉瘘最常引流至肺动脉（84 例，50.30%和 25 例，31.65%）。起源于回旋支的瘘最常引流至另一支动脉（10 例，27.78%）。
左前降支是所有检测到的冠状动脉瘘中一半以上的起源部位。肺动脉是冠状动脉瘘最常见的起源和引流部位。
