Evidence map›Paper›PMID 40816847›Full record

ArticleJACC. Case reports2025

Multidisciplinary Approach to Closure of a Late-Presenting Large Coronary Artery Fistula.

Sarah Harirforoosh, Raveendra Morchi, Gira Morchi, Theodore Bryan, Pranav M Patel, Michael Rochon-Duck, Ali Naqvi, Antonio H Frangieh

Abstract readCase Reports
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Sarah HarirforooshMary & Steve Wen Cardiovascular Division, Department of Medicine, University of California-Irvine, Orange, California, USA. Electronic address: https://twitter.com/sarahharir.
Raveendra MorchiDepartment of Cardiothoracic Surgery, University of California-Irvine, Orange, California, USA.
Gira MorchiDivision of Pediatric Cardiology, Children's Hospital of Orange County, Orange, California, USA.
Theodore BryanDivision of Interventional Radiology, Department of Radiological Sciences, University of California-Irvine, Orange, California, USA.
Pranav M PatelMary & Steve Wen Cardiovascular Division, Department of Medicine, University of California-Irvine, Orange, California, USA. Electronic address: https://twitter.com/DrPranavMPatel.
Michael Rochon-DuckMary & Steve Wen Cardiovascular Division, Department of Medicine, University of California-Irvine, Orange, California, USA.
Ali NaqviMary & Steve Wen Cardiovascular Division, Department of Medicine, University of California-Irvine, Orange, California, USA.
Antonio H FrangiehMary & Steve Wen Cardiovascular Division, Department of Medicine, University of California-Irvine, Orange, California, USA. Electronic address: afrangie@hs.uci.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery fistulas (CAFs) are rare congenital arteriovenous malformations that are usually incidentally discovered. Once a CAF is confirmed, the management involves surveillance or a transcatheter or surgical intervention for certain patient populations as highlighted herein. CASE SUMMARY: A 63-year-old male bodybuilder presented with lightheadedness and wide complex tachyarrhythmia requiring 2 defibrillator shocks. Coronary angiography revealed a large tortuous coronary fistula from the left main coronary artery/left circumflex artery emptying into the superior vena cava. Due to concerns for coronary steal, a decision was made to intervene. A nonsurgical multidisciplinary approach, utilizing coil embolization, was planned for fistula closure to preserve the patient's active lifestyle. In addition, a subcutaneous implantable defibrillator was inserted for secondary prevention. DISCUSSION: This case highlights the importance of identifying indications for CAF closure. Knowledge of available imaging modalities and interventional approaches allows for the productive discussion of treatment options across multiple specialties.

Indexed as

congenital heart defectcoronary vessel anomalyventricular tachycardia

Identifiers

PMID40816847
PMCPMC12462122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.