Evidence map›Paper›PMID 30736865›Full record

ArticleJournal of cardiothoracic surgery2019

Congenital aneurysmal right coronary artery with a fistula to the left atrium in an adult.

Neerod Kumar Jha, Laszlo Kiraly, Nishant Shah, Arif Al Mulla, Bassem Mora

Abstract readCase Reports
In one paragraph

Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Neerod Kumar JhaInstitute of Cardiac Sciences, PO BOX 51900, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates. nk_jha@hotmail.com.
Laszlo KiralyInstitute of Cardiac Sciences, PO BOX 51900, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Nishant ShahInstitute of Cardiac Sciences, PO BOX 51900, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Arif Al MullaInstitute of Cardiac Sciences, PO BOX 51900, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Bassem MoraInstitute of Cardiac Sciences, PO BOX 51900, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital coronary artery fistula in association with aneurysm of the involved coronary artery in adults is rare. Moreover, the right coronary artery- left atrial fistula is also uncommon. Most of the cases are asymptomatic. However, symptomatic patients need therapeutic interventions. The potential complications associated with this anomaly are life-threatening, therefore, there is a need to explore more on differential diagnosis, investigations, management strategies and prevention of complications. CASE PRESENTATION: We present herewith a 26-year-old male patient with symptoms of chest pain and dyspnea. He was diagnosed with aneurysmal dilatation of the right coronary artery in its entire course which terminated as a fistulous communication into the left atrium. The closure of the fistula was done using autologous pericardial patch under cardiopulmonary bypass. Currently, the patient is being followed up after surgery and receiving anticoagulants.

conclusionThe advancement in the diagnostic imaging modalities have made it possible to find similar abnormalities more frequently. Due to rare nature of this anomaly, there is a need to explore and discuss management strategies that include medical management, surgical intervention or percutaneous interventions for a successful outcome.

Indexed as

AdultCardiopulmonary BypassChest PainCoronary AneurysmCoronary AngiographyCoronary Vessel AnomaliesDiagnosis, DifferentialFistulaHeart AtriaHumansMaleTomography, X-Ray ComputedVascular FistulaAneurysmArteryAtriumCardiacCoronaryFistulaInterventionPercutaneousSurgery

Identifiers

PMID30736865
PMCPMC6367818

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.