Page 25 - Journal of Structural Heart Disease Volume 4, Issue 5

Original Scientific Article
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Follow-up
It is mandatory to follow patients with coronary ar- teriovenous fistulae life-long. Such patients may be at increased risk for acute or late-onset coronary throm- bosis [21-26], Patients with distal fistulae with dilated proximal conduit are especially at increased risk for such complications. We propose that such patients receive life-long antiplatelet therapy. The issue of an- ticoagulation needs to be taken into consideration as discussed above. Further, these patients need to undergo coronary imaging every few years based on symptoms or even periodic CT coronary angiogra- phy. Other factors may increase the risk of coronary thrombosis such as smoking, diabetes, hypertension, and hyperlipidemia. Patients with fistula drainage to
the coronary sinus may be at higher risk of coronary thrombosis [27]. To best understand the long-term sequelae of coronary fistulae closure, there is an on- going registry by the CCISC (Congenital Cardiovascu- lar Interventional Study Consortium) collecting data on these patients.
Conflict of Interest
The authors have no conflict of interest relevant to this publication.
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Journal of Structural Heart Disease, October 2018
Volume 4, Issue 5:212-221