期刊
HEART LUNG AND CIRCULATION
卷 28, 期 4, 页码 E51-E53出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.hlc.2018.04.281
关键词
Coronary artery fistula; Fractional flow reserve; Coronary physiology; Adult congenital heart disease
We present two cases where fractional flow reserve (FFR) was utilised to guide management of coronary artery fistula (CAF), an approach advocated in recent case studies. CAF is a coronary anomaly that may present with a variety of syndromes though is frequently asymptomatic. When to exclude the fistula (surgically or percutaneously) is not always clear. A way to quantify if the fistula is physiologically meaningful would be advantageous. Our findings suggest FFR may only be assessing the concomitant epicardial coronary artery disease (CAD) rather than the degree of coronary steal and its routine use in this setting is not supported.
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