Why the study?
What are the sequelae and optimal management strategies following closure of coronary artery fistulas?
What are the sequelae and optimal management strategies following closure of coronary artery fistulas?
Large distal coronary artery fistulas are at high risk for thrombosis following closure, highlighting the need for tailored management strategies.
Large distal CAFs warrant close post-closure surveillance for thrombosis; leaves open optimal antithrombotic strategies pending prospective studies.
Post-CAF treatment sequelae include thrombosis and MI, revascularization, persistent coronary dilatation, remodeling, and decrease in conduit coronary artery size towards normal. The large size distal type of CAF may be at highest risk for coronary thrombosis post closure. The optimal treatment approach to various morphologies of CAF at various ages remains to be determined.
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Gowda et al. (2013) studied this question.
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