SynthesisInterdisciplinary cardiovascular and thoracic surgery2025
A Systematic Analysis of Coronary to Pulmonary Artery Fistula and Its Associated Aneurysm in Adults.
Synthesis in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Bilateral Coronary Artery-to-Pulmonary Artery Fistula Treated Using Minimally Invasive Coils and Vascular Embolization Devices.JACC. Case reports · 2026Article
- Incidental left anterior descending coronary artery-pulmonary artery fistula with a fistulous aneurysm: CT angiography characterization and management.Radiology case reports · 2026Article
- Optimal Operative Strategies in Repair of Giant Coronary Artery Aneurysms: Case Presentation.Surgical case reports · 2026Article
- Successful percutaneous closure of coronary-to-pulmonary artery fistula using detachable coils, confirmed by coronary computed tomography angiography.Cardiology journal · 2026Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe conducted a systematic review to evaluate the clinical features, diagnosis, and treatment of coronary artery to pulmonary artery fistula (CPAF) and its associated aneurysms.
methodsOur search encompassed MEDLINE/PubMed, Scopus, Google Scholar, and the Cochrane Collaboration Database from 1970 to 2025.
resultsA total of 461 cases were analysed. The volume of publications steadily increased after 2010. The left anterior descending coronary artery was the most common site of origin for CPAF. A total of 457 cases underwent coronary angiography confirming CPAF, with computed tomography coronary angiography being the most frequently used non-invasive imaging modality (190 cases, 41.2%). Stress tests were conducted in 78 cases (16.9%), revealing a coronary steal phenomenon associated with CPAF. Particularly, when comparing aneurysm CPAF to non-aneurysm CPAF, we found that older age is an independent risk factor for developing an aneurysm. For interventions, the symptomatic patients were more likely to close the fistula. We identified that 218 cases (49.7%) underwent surgical treatment, while 121 cases (27.6%) received percutaneous embolization. There were 8 reported deaths, resulting in a mortality rate of 1.8%.
conclusionsThe clinical presentations of CPAF are often non-diagnostic. Computed tomography coronary angiography is the preferred method for visualizing the fistulas and their surrounding structures. Surgical treatment is beneficial in cases of aneurysm CPAF or with other surgical indications. Transcatheter closure of CPAF may be considered for selected individuals with favourable anatomy (PROSPERO Number CRD42025643603). CLINICAL REGISTRATION NUMBER: PROSPERO Number CRD42025643603.
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