{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:31:33Z","timestamp":1792665093582,"version":"4.5.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T00:00:00Z","timestamp":1603756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Isolated coronary arteriovenous fistulas are extremely rare, accounting for 0.08\u20130.4% of all congenital heart disease. Closure of the fistula is recommended in cases of large dimensions, relevant left\u2013right shunt, or ischaemic events. Thrombosis of the coronary aneurysms may occur as a postoperative complication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of a coronary fistula between the circumflex artery and coronary sinus with giant aneurysm. After a failed percutaneous closure attempt, the patient was surgically treated without major postoperative complications. Despite therapeutic anticoagulation and antiplatelet therapy, she presented at clinical follow-up with thrombosis of the dilated coronary artery without signs or symptoms of ischaemia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Management of coronary artery fistula may be challenging in cases in which initial percutaneous closure is unsuccessful. This particular case also highlights the importance of close follow-up, despite optimal therapy, to detect potentially lethal complications related to the low flow in the dilated coronary aneurysm.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa297","type":"journal-article","created":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T05:31:43Z","timestamp":1603776703000},"page":"1-6","source":"Crossref","is-referenced-by-count":14,"title":["A case report of a coronary artery fistula to coronary sinus with giant aneurysm: risk does not end with repair"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3414-9490","authenticated-orcid":false,"given":"Giulia","family":"Poretti","sequence":"first","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3175-3764","authenticated-orcid":false,"given":"Mauro","family":"Lo Rito","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3956-333X","authenticated-orcid":false,"given":"Alessandro","family":"Varrica","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-9258","authenticated-orcid":false,"given":"Alessandro","family":"Frigiola","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"key":"2021010812211398400_ytaa297-B1","first-page":"p1123"},{"key":"2021010812211398400_ytaa297-B2","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.ijcard.2005.01.047","article-title":"Dutch survey of coronary artery fistulas in adults: congenital solitary fistulas","volume":"106","author":"Said","year":"2006","journal-title":"Int J Cardiol"},{"key":"2021010812211398400_ytaa297-B3","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.ejcts.2009.02.039","article-title":"Surgical management of a circumflex aneurysm with fistula to the coronary sinus","volume":"35","author":"Hajj-Chahine","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021010812211398400_ytaa297-B4","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.amjcard.2010.09.018","article-title":"Intermediate to long-term outcome following congenital coronary artery fistulae closure with focus on thrombus formation","volume":"107","author":"Gowda","year":"2011","journal-title":"Am J Cardiol"},{"key":"2021010812211398400_ytaa297-B5","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0003-4975(00)01862-2","article-title":"Coronary artery fistulas: long-term results of surgical correction","volume":"71","author":"Cheung","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"2021010812211398400_ytaa297-B6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1161\/CIRCINTERVENTIONS.109.883884","article-title":"Predictors of long-term adverse outcomes in patients with congenital coronary artery fistulae","volume":"3","author":"Valente","year":"2010","journal-title":"Circ Cardiovasc Interv"},{"key":"2021010812211398400_ytaa297-B7","doi-asserted-by":"crossref","first-page":"e927","DOI":"10.1161\/CIR.0000000000000484","article-title":"Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association","volume":"135","author":"McCrindle","year":"2017","journal-title":"Circulation"}],"container-title":["European Heart Journal - 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