Retrospective Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Oct 26, 2016; 8(10): 596-605
Published online Oct 26, 2016. doi: 10.4330/wjc.v8.i10.596
Congenital coronary artery fistulas complicated with pulmonary hypertension: Analysis of 211 cases
Salah AM Said
Salah AM Said, Department of Cardiology, Hospital Group Twente, Almelo-Hengelo, 7555 DL Hengelo, The Netherlands
Author contributions: Said SAM has solely contributed to conception, design, drafting and final approval of the manuscript.
Institutional review board statement: The data of this manuscript are obtained from internet, so it should be excepted from approval of institutional review board.
Conflict-of-interest statement: Author has no conflict of interest in connection with the submitted article. No funding has been obtained.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at salah.said@gmail.com.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Salah AM Said, MD, PhD, FESC, Department of Cardiology, Hospital Group Twente, Almelo-Hengelo, Geerdinksweg 141, 7555 DL Hengelo, The Netherlands. salah.said@gmail.com
Telephone: +31-88-7085286 Fax: +31-88-7085289
Received: February 12, 2016
Peer-review started: February 16, 2016
First decision: March 23, 2016
Revised: July 26, 2016
Accepted: August 6, 2016
Article in press: August 8, 2016
Published online: October 26, 2016
Processing time: 257 Days and 11.2 Hours
Core Tip

Core tip: Congenital coronary artery fistulas (CAFs) are infrequent but hemodynamically important anomalies which may evolve a myriad of complications, such as myocardial infarction, congestive heart failure, infective endocarditis, aneurysm, rupture, pericardial effusion, arrhythmias and sudden death. In addition, secondary pulmonary hypertension (PHT) may complicate the course of CAFs. Moreover, when monitoring CAF patients, the clinicians responsible for the management of patients with congenital CAFs should be aware of the development of PHT during the course of the disease.