Evidence map›Paper›PMID 40345740›Full record

ArticleJACC. Case reports2025

Coronary Artery Fistula From the Left Circumflex to Coronary Sinus.

Diego Silva-Mendoza, Atul Eppurath, Ramy Shoela, Mina Mehanni, Mark Wittry

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Diego Silva-MendozaSaint Louis University School of Medicine, St Louis, Missouri, USA. Electronic address: silvadmendoza@gmail.com.
Atul EppurathSSM Health Saint Louis University Hospital, St Louis, Missouri, USA.
Ramy ShoelaSSM Health Saint Louis University Hospital, St Louis, Missouri, USA.
Mina MehanniSSM Health Saint Louis University Hospital, St Louis, Missouri, USA.
Mark WittryMercy Hospital St Louis, St Louis, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary arteriovenous fistulas (CAVFs) are rare occurrences with an incidence of 0.1% to 0.9% on coronary angiography. Fistulas between the left circumflex coronary artery and coronary sinus are even less common. CASE SUMMARY: A 71-year-old female underwent extensive diagnostic imaging for CAVF. Intervention with catheterized closure and coil embolization was planned but not performed due to disparate anatomy of the CAVF on echocardiogram, magnetic resonance imaging, computed tomography, and coronary angiography. Because of these discrepancies, there was an uncertain risk for distal embolization of the coils. DISCUSSION: Variance in diagnostic interpretation from different imaging modalities can lead to difficulty in confirming the anatomy of a CAVF and hinder resolution. Best-practice diagnostic imaging and treatment options for CAVFs are discussed. TAKE-HOME MESSAGES: Fistulas between the LCX and CS are rare, and their characteristics, origin, and termination can be difficult to determine without appropriate imaging modalities. This case highlights the efficacy of different imaging and treatment options for CAVFs.

Indexed as

coronary angiographycoronary artery fistulacoronary vessel anomaly

Identifiers

PMID40345740
PMCPMC12245462

What OpenQuestion holds

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Registered trials

None linked

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.