- Email: [email protected]
OP-091 Circumflex Coronary Artery Fistula to the Lung Mass
MARCH 13e16, 2014 Objective: Pulmonary atresia with intact ventricular septum is a rare anomaly of the Congenital Heart Diseases(CHD). It is seen aproximately in 3% of all CHDs. Management strateggies may vary. Patients clinical status, the development stage of right ventricle, tricuspit valve and right ventricle dependent coronary arterial circulation are the most important criteria of choosing the treatment modality. Transcatheteric and urgent surgical approaches play an important role as the life-saving procedures. The aim of this study is evaluate to characteristics of our patients who underwent percutaneous procedures and the results of processes. Methods: Electrocardiography, chest radiograph, echocardiography and angiography was performed in all patients. The echocardiographic recordings at the time of diagnosis were collected to determine type of atresia(membraneus or muscular), right ventricle size and morphology, tricuspit valve Z score, degree of tricuspit regurgitation, coronary artery abnormalities and ductal shunt. Angiographic data were taken from angiography based registry system. Hemodynamic data were compared before and after treatment for patients atretic valve perforation. Results: Between January 2008 - January 2014, 14 neonates diagnosed with PAIVS underwent transcatheter intervention. Ten of the patients were girls and four were boys. The mean weight of patients was 3,02 0,42 (1,9-3,5) kg and mean procedure age were 4,5 3,08 (1-10) days. Just atretic valve perforation was performed in 9 patients, whereas only stent implantation was applied in 1 patients. In 4 patients, both stent implantation, and perforation of the atretic valve were performed. There were two mortality immediately after treatment. The mean duration of follow-up was 31,522,1 months. Nine of the patients achieved biventricular circulation after interventions. Conclusions: Early interventional procedures not only provide survival but also save time for the choice of treatment.
- OP-091 Circumflex Coronary Artery Fistula to the Lung Mass. H. Kundi, M. Çetin, E. Kızıltunç, H. Çiçekçioglu, Z.G. Çetin, M. S¸ahin, C.M. Avan, E. Örnek, F.V. Ulusoy. Department of Cardiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. Coronary artery fistula is a rare congenital or acquired anomalous shunt from a coronary artery to a cardiac chamber or great vessel. Most of them remain
asymptomatic, however they can lead to ischemia, heart failure, arrhythmias as well as sudden cardiac death. This fistulas usually originates from the left anterior descending artery and drains into the main pulmonary artery. Coronary fistula draining to lung parenchyma was reported a few case. A 59 year-old male patient admitted to the emergency department with the complaint of atypical chest pain. He was a heavy smoker and previously had been diagnosed with lung cancer. He was stage 4 squamous cell lung cancer. His blood pressure was 120/70mmHg and cardiac system examination was normal. Electrocardiography showed normal sinus rhythm with T wave inversion in leads DIII and aVF. Repated Troponin-I levels were in normal ranges. Echocardiography was normal. Coronary angiography showed no critical lesion on coronary arteries and fistula from circumflex coronary artery to pulmonary parenchyma (Figure 1a-b). Computerized tomography revealed this fistula is draining into the lung mass (Figure 1c).The patient underwent to myocardial perfusion sintigraphy (MPS) for further investigation to show ischemia. Due to the detection of ischemia in inferior wall, coil embolization was planned but the patient did not accept this theraphy. To best of our knowledge, there are few cases fistulas from coronary artery to pulmonary parenchyma in the literature. However, there is no case report fistula from coronary artery to lung mass.
- OP-092 Patent Foramen Ovale Frequency in Patients with Migraine and Its Impact on Disability. T. Kunak1, E.K. Ulusoy2, A. Ülgen3, M. Karakoç4. 1Department of Cardiology, Develi State Hospital, Kayseri, Turkey; 2Department of Neurology, Develi State Hospital, Kayseri, Turkey; 3Department of Cardiology, Kayseri Education and Research Hospital, Kayseri, Turkey; 4Department of Neurology, Afs¸in State Hospital, Kahramanmaras¸, Turkey. Introduction: Patent foramen ovale (PFO) with right-to-left shunt has a prevalence of 10% to 34% in the general population. Its influence on migraine and several other diseases and conditions is currently under debate. There were many studies showing increased frequency of PFO in patients with migraine. This increase is more evident in patients with migraine especially with aura. In this study we examined PFO frequency and its effects on rate of disability in migraine patients. Methods: Seventy-two migraine patients and 55 healthy volunteers were enrolled for this study. The presence of PFO was estimated by agitated saline contrast transthoracic echocardiography (TTE). Demographic and clinical characteristics, types of migraine, ‘Visual Analogue Scale’ (VAS) and ‘Migraine Disability Assesment Scale’ (MIDAS) results were recorded. Results: PFO was more frequent in migraine group (20% vs 51,4%) (p¼0,001). Aura rates were 56.8 % in patients with PFO and 35.2 % without PFO (p¼0,094). Average MIDAS score was 13.15.9 in migraine cases with PFO and 8,40,9 in migraine cases without PFO (p¼0,003). Average VAS scores were 8.7 0.8 and 9,15,2 in migraine cases with and without PFO, respectively (p¼0,064). Conclusion: Results of this study showed that the frequency of PFO was greater in patients with migraine than normal population. MIDAS score was associated with the presence of PFO. According to these data, we think that the presence of PFO plays an effective role on disability.
- OP-093
Figure 1. Conventional coronary angiography showing fistula (yellow arrows) (Figure 1a-b). Multislice computerized tomography showing fistula (yellow arrow) and mass (white arrows) (Figure 1c)
Catheter Based Treatment in Newborn with Congenital Heart Disease: Eight Years Experience of a Single Center. T. Yoldas¸1, _ Ertugrul1, S¸. Kayalı1, N.D. Fettah2. U.A. Örün1, S. Özgür1, I. 1 Department of Pediatric Cardiology, Dr. Sami Ulus Children’s Hospital, Ankara, Turkey; 2Department of Neonatal Intensive Care, Dr. Sami Ulus Children’s Hospital, Ankara, Turkey.
The American Journal of Cardiologyâ MARCH 13e16, 2014 10th INTERNATIONAL CONGRESS OF UPDATE IN CARDIOLOGY AND CARDIOVASCULAR SURGERY ABSTRACTS / Oral
S23
O R A L A B S T R A C T S
- OP-091 Circumflex Coronary Artery Fistula to the Lung Mass. H. Kundi, M. Çetin, E. Kızıltunç, H. Çiçekçioglu, Z.G. Çetin, M. S¸ahin, C.M. Avan, E. Örnek, F.V. Ulusoy. Department of Cardiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. Coronary artery fistula is a rare congenital or acquired anomalous shunt from a coronary artery to a cardiac chamber or great vessel. Most of them remain
asymptomatic, however they can lead to ischemia, heart failure, arrhythmias as well as sudden cardiac death. This fistulas usually originates from the left anterior descending artery and drains into the main pulmonary artery. Coronary fistula draining to lung parenchyma was reported a few case. A 59 year-old male patient admitted to the emergency department with the complaint of atypical chest pain. He was a heavy smoker and previously had been diagnosed with lung cancer. He was stage 4 squamous cell lung cancer. His blood pressure was 120/70mmHg and cardiac system examination was normal. Electrocardiography showed normal sinus rhythm with T wave inversion in leads DIII and aVF. Repated Troponin-I levels were in normal ranges. Echocardiography was normal. Coronary angiography showed no critical lesion on coronary arteries and fistula from circumflex coronary artery to pulmonary parenchyma (Figure 1a-b). Computerized tomography revealed this fistula is draining into the lung mass (Figure 1c).The patient underwent to myocardial perfusion sintigraphy (MPS) for further investigation to show ischemia. Due to the detection of ischemia in inferior wall, coil embolization was planned but the patient did not accept this theraphy. To best of our knowledge, there are few cases fistulas from coronary artery to pulmonary parenchyma in the literature. However, there is no case report fistula from coronary artery to lung mass.
- OP-092 Patent Foramen Ovale Frequency in Patients with Migraine and Its Impact on Disability. T. Kunak1, E.K. Ulusoy2, A. Ülgen3, M. Karakoç4. 1Department of Cardiology, Develi State Hospital, Kayseri, Turkey; 2Department of Neurology, Develi State Hospital, Kayseri, Turkey; 3Department of Cardiology, Kayseri Education and Research Hospital, Kayseri, Turkey; 4Department of Neurology, Afs¸in State Hospital, Kahramanmaras¸, Turkey. Introduction: Patent foramen ovale (PFO) with right-to-left shunt has a prevalence of 10% to 34% in the general population. Its influence on migraine and several other diseases and conditions is currently under debate. There were many studies showing increased frequency of PFO in patients with migraine. This increase is more evident in patients with migraine especially with aura. In this study we examined PFO frequency and its effects on rate of disability in migraine patients. Methods: Seventy-two migraine patients and 55 healthy volunteers were enrolled for this study. The presence of PFO was estimated by agitated saline contrast transthoracic echocardiography (TTE). Demographic and clinical characteristics, types of migraine, ‘Visual Analogue Scale’ (VAS) and ‘Migraine Disability Assesment Scale’ (MIDAS) results were recorded. Results: PFO was more frequent in migraine group (20% vs 51,4%) (p¼0,001). Aura rates were 56.8 % in patients with PFO and 35.2 % without PFO (p¼0,094). Average MIDAS score was 13.15.9 in migraine cases with PFO and 8,40,9 in migraine cases without PFO (p¼0,003). Average VAS scores were 8.7 0.8 and 9,15,2 in migraine cases with and without PFO, respectively (p¼0,064). Conclusion: Results of this study showed that the frequency of PFO was greater in patients with migraine than normal population. MIDAS score was associated with the presence of PFO. According to these data, we think that the presence of PFO plays an effective role on disability.
- OP-093
Figure 1. Conventional coronary angiography showing fistula (yellow arrows) (Figure 1a-b). Multislice computerized tomography showing fistula (yellow arrow) and mass (white arrows) (Figure 1c)
Catheter Based Treatment in Newborn with Congenital Heart Disease: Eight Years Experience of a Single Center. T. Yoldas¸1, _ Ertugrul1, S¸. Kayalı1, N.D. Fettah2. U.A. Örün1, S. Özgür1, I. 1 Department of Pediatric Cardiology, Dr. Sami Ulus Children’s Hospital, Ankara, Turkey; 2Department of Neonatal Intensive Care, Dr. Sami Ulus Children’s Hospital, Ankara, Turkey.
The American Journal of Cardiologyâ MARCH 13e16, 2014 10th INTERNATIONAL CONGRESS OF UPDATE IN CARDIOLOGY AND CARDIOVASCULAR SURGERY ABSTRACTS / Oral
S23
O R A L A B S T R A C T S