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Caspian Journal of Internal Medicine، جلد ۶، شماره ۲، صفحات ۱۰۸-۱۱۲
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
Clinical presentation of coronary arteriovenous fistula according to age and anatomic orientation |
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| چکیده انگلیسی مقاله |
Background: Coronary arteriovenous fistulas (CAVFs) are direct connections from one or more coronary arteries to cardiac chambers or a large vessel. They are mostly of congenital origin. The aim of this study was to describe clinical presentation and also delineate the course and management of CAVF. Methods: Clinical data, chest x-rays, echocardiographic and angiographic evaluation of 40 patients with congenital CAVF during 1990 to 2008 were reviewed retrospectively. Results: Seventeen patients were ≤ 20 years old (42.5%) were mostly asymptomatic, and twenty tree cases were older than 20 years old (57.5%), mostly symptomatic (P< 0.05). Twenty one (52.5%) patients had pure CAVF and nineteen (47.5%) patients with associated intarcardiac congenital heart disease (15%) or acquired valvular and coronary arteries diseases (32.5%). CAVFs mostly originated from left anterior descending artery (LAD) (42.5%) and mostly drained into the main pulmonary artery (MPA) (35 %). Twenty-four patients underwent CAVF surgical ligation. From twenty-one patients with pure CAVF, eight (38%) patients were complicated by congestive heart failure and aneurism formation of fistula.Conclusion: Unlike some previous reports, in our study, the most prevalent origin site for CAVFs was the left anterior descending (LAD). Most patients with CAVFs especially those who went first diagnosed before 20 years old were asymptomatic. On the other hand, as the continuous murmur is not always detected in children or infants, consequently, cases of spontaneous closure may remain undetected. All symptomatic and asymptomatic patients with moderate to severe shunting should be operated on and minimal morbidity and good surgical results could be expected. |
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| نویسندگان مقاله |
حسن زمانی | hassan zamani
non-communicable pediatric diseases research center, babol university of medical sciences, babol, ir iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
محمود معراجی | mahmoud meraji
pediatric cardiology department of shahid rajaie heart center, iran university of medical sciences, tehran, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
محمد یوسف اعرابی مقدم | mohammad yousef arabi moghadam
pediatric cardiology department of shahid rajaie heart center, iran university of medical sciences, tehran, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
بهزاد علیزاده | behzad alizadeh
mashhad university of medical sciences, mashhad. iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
کاظم بابازاده | kazem babazadeh
non-communicable pediatric diseases research center, babol university of medical sciences, babol, ir iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
فرزاد مختاری اسبویی | farzad mokhtari esbuie
mazandaran university of medical science, sari , iran
سازمان اصلی تایید شده: دانشگاه مازندران (Mazandaran university)
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| نشانی اینترنتی |
http://www.caspjim.com/browse.php?a_code=A-10-60-1&slc_lang=en&sid=en |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Cardiology |
| نوع مقاله منتشر شده |
Original Article |
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