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Female Gender and the Risk of Rupture of Congenital Aneurysmal Fistula in Adults
Female Gender and the Risk of Rupture of Congenital Aneurysmal Fistula in Adults
- Source :
- Congenital Heart Disease. 3:63-68
- Publication Year :
- 2008
- Publisher :
- Computers, Materials and Continua (Tech Science Press), 2008.
-
Abstract
- Aims. To delineate the risk factors for rupture of congenital aneurysmal fistulas in adult patients. Methods. We conducted a literature search of the Medline database using Pubmed search interface to identify reports dealing with rupture of congenital aneurysmal fistulas in an adult population. The search included the English and non-English languages between 1963 and 2005. Results. Fourteen adult patients (12 females) with serious and life-threatening complications secondary to aneurysmal fistulas were reported. Mean age was 62.9 years. The ethnic origins of these 14 patients were 9 Asian and 5 Caucasian. Most patients have had no other cardiac malformations. Five patients had a history of hypertension. One patient was asymptomatic. In 13 symptomatic patients, the clinical presentation was cardiac tamponade, pericardial effusion, syncope, heart failure, chest pain, dyspnea, fatigue, distal thromboembolic events with infarction, shock, and/or sudden death. Aneurysmal fistulas were identified in 10 patients; of these 6 were of the saccular type. Rupture occurred in 9 patients (8 females and 1 male). Eleven patients were treated surgically with 1 late death. Two male subjects experienced sudden unexpected cardiac death. Conclusion. Rupture of congenital aneurysmal fistulas occurred more often in females. Identified risk factors for rupture, hemopericardium, tamponade, and death were among others saccular aneurysm, Asian ethnic race, origin of the aneurysmal fistulas from the left coronary artery and a history of hypertension may play a role. In this article, we present a literature review of congenital aneurysmal fistulas associated with or without rupture and a case report of a woman with unruptured aneurysmal fistula.
- Subjects :
- medicine.medical_specialty
business.industry
Fistula
Infarction
General Medicine
medicine.disease
Hemopericardium
Chest pain
Pericardial effusion
Sudden death
Surgery
Cardiac tamponade
Pediatrics, Perinatology and Child Health
cardiovascular system
medicine
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Tamponade
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1747079X
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Congenital Heart Disease
- Accession number :
- edsair.doi...........f07413e06a6094c889535b2ee8db39ae
- Full Text :
- https://doi.org/10.1111/j.1747-0803.2007.00144.x