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Doctor insights on: What Is Fastula Cordinary

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My 3yr old son has had a PDA closure and also has a coronary fisula. Je sweats profusely at night how can I help?

My 3yr old son has had a PDA closure and also has a coronary fisula. Je sweats profusely at night how can I help?

Get Checked: The history of a coronary fistula should lead us to be cautious. However, sweating when sleeping would not be a common way in which a problem showed itself. Rather, sweating with activity would be more concerning. Nevertheless, please bring this up with the cardiologist and pediatrician. You should rule out any residual heart issue and remember that it may be unrelated as well. ...Read more

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Could a coronary fistula causes low BP in a hypertensive person?

Could a coronary fistula causes low BP in a hypertensive person?

Fistula: Don't know of a reason that a coronary fistula would cause a drop in BP if the BP was normal or elevated in the past. Consult your doc to see if there are other reasons. ...Read more

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What is a coronary steal? Which are the symtoms? A coronary fistula could produce that? Betablockers worse the situation? Thanks

What is a coronary steal? Which are the symtoms? A coronary fistula could produce that? Betablockers worse the situation? Thanks

Abnormal flow: The abnormality takes blood flow from the desired circulation area.
Subclavian steal, coronary steal etc.
An arteriovenous communication-fistula does that.
If severe enough the distal, circulation- heart in your example can show ischemia.
Symptom angina! ...Read more

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What is the significance of bilateral coronary artery fistulas?

What is the significance of bilateral coronary artery fistulas?

Variable significanc: It depends on how large the fistulas are. A small coronary fistula can be without major effect. However, I have seen large coronary fistulas that require surgical or catheter repair.

I suppose "bilateral" means both left and right coronary arteries have connections to either a coronary vein / atrium or other venous structure. ...Read more

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What test is more reliable to find a coronary fistula, Echo, CT scan angiography or catheterism? Thanks

What test is more reliable to find a coronary fistula, Echo, CT scan angiography or catheterism? Thanks

Catheterization: Hi Oscar! A heart catheterization will find it every time. It's the gold standard. CT angio likely will but can be fooled if there are calcifications which obscure the view. Echo has a low sensitivity but occasionally may discover one. ...Read more

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My 3yr old son had a PDA a closure and has a diagnosed coronary fisula which is being monitored. His head sweats a lot when sleeping. How can I help?

My 3yr old son had a PDA a closure and has a diagnosed coronary fisula which is being monitored. His head sweats a lot when sleeping. How can I help?

See below: There are lots of causes for sweating and cardiac disease is one cause. However the lesions you mention should not be causing this. I would make sure no obvious causes like room to warm, over dressed or too many blankets. If not the case you should discuss with the pediatrician to address other causes for the sweating. ...Read more

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Son 15 has pots and syncope low sa node and one son 14 bradycardia and coronary fistula to pulmonary artery. Could they be wrong and it be sick sinus?

Son 15 has pots and syncope low sa node and one son 14 bradycardia and coronary fistula to pulmonary artery. Could they be wrong and it be sick sinus?

POTs and Syncope: There is growing recognition of this condition.

Pots is a situation where there is an inappropriate heart rate increase to low blood pressure, but typically don't see more than just a sinus tachycardia.

Sick sinus syndrome tends to have more abnormal findings on ecg.

I am sure you have a cardiac specialist to whom these questions should be addressed. ...Read more

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A 13 year old child has bradycardia. There is no obviousshunt. What is the best treatment for a coronary fistula collateral flow in main pulmonary artery, above thepulmonary valve?

A 13 year old child has bradycardia. There is no obviousshunt. What is the best treatment for a coronary fistula collateral flow in main pulmonary artery, above thepulmonary valve?

None: Most coronary fistulas to the mpa are tiny, and if there there is no obvious shunt it will likely not require rx or cause any problems such as bradycardia. Check with your cardiologist for f/u. ...Read more

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What do I do after the succesful surgery of fidtula in ano?

Anal fistula: I am happy to hear that you have had success with repair of your fistula-in-ano procedure. This can be a complicated problem. Maintenance of weight, control of constipation, and plenty of liquids (water) can help keep anal problems from recurring. Also, be sure to followup with your surgeon right away if problems seem to return. ...Read more

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What is the rate of restenosis of coronaries comparing drug eluted & plain stents.?

What is the rate of restenosis of coronaries comparing drug eluted & plain stents.?

See below: The highest risk of restenosis is during the first month after stent placement. The risk of restenosis of drug eluting stents is about 10% vs bare metal stents of about 30%. After one year restenosis is much less common. Risk factors for restenosis include diabetes, small vessels stented, long lesions stented and multiple stents placed. ...Read more

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Please help! What is the rate of restenosis of coronaries comparing the use of drug eluded & plain stents?

Please help! What is the rate of restenosis of coronaries comparing the use of drug eluded & plain stents?

Not simple: Kind of a complex question. Basically most of the studies were done with the 1st generation stents. There was a significant reduction in the need to retreat with drug eluting stents (DES) compared compared to bare metal stents (BMS) (an absolute difference of approximately 12% at four years). There was no significant difference in overall mortality between DES and BMS. ...Read more

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How can a fistula heal?

What kind of fistula: If you want a meaningful answer to this question you will need to say what type of fistula (where it is) and if you know what caused it. A fistula is a connection between two organs that should not exist. So there are too many types for anyone to answer this without more info. ...Read more

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Where do fistulas form?

Depends: There are many kinds of fistulas. By definition a fistula is an abnormal communication from one organ to another. Anal fistulas arise from the anal crypts internally. Enterocutaneous fistulas connect the bowel to the skin, fistulas can develop from almost any organ and most often indicate some underlying disease process. ...Read more

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Are av fistulas permanent?

Are av fistulas permanent?

Don't have to be: It takes a surgical procedure to connect the end if a vein to the side of an artery (create an av fistula). Once created, it will take another surgical procedure to shut the fistula down if need be. Most often they are kept in place even if not used as a back-up system for dialysis access. ...Read more

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What exactly is a fistula?

What exactly is a fistula?

Abnormal Connection: An abnormal connection between to organs or vessels. Example: entero-cutaneous fistula- an connection between the bowel and the skin. These are typically caused by diseases of the bowel. Example: arterio-venous fistula- a connection between an artery and a vein. These are created surgically to provide dialysis. ...Read more

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How does fistula usually form?

Inflammation: Either as a result of an infection that 'burrows' or from another source, e.g. Ibd (inflammatory bowel disease) - not to be confused with IBS (irritable bowel syndrome). ...Read more

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Can fistulas heal by themselves?

What kind of fistula: Simply, yes, some fistulas can spontaneously resolve...But it depends on the location and the type of fistula. ...Read more

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What are other kinds of fistula?

Innumerable: There are dozens of different kinds. A fistula is basically an abnormal connection between parts of the body. You can have fistulas between the arteries & veins, small bowel & colon, intestine & bladder, bowel & vagina, lungs & bile ducts, stomach & lungs, esophagus & trachea.... I think you get the idea. ...Read more

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What happens if I have a fistula?

What happens if I have a fistula?

See your doctor: See a colon and rectal surgeon and have it removed surgically. There are different kinds of treatment available. ...Read more

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How do I know if I have a fistula?

The best way: Is to be examined by a colon and rectal surgeon to determine if a fistula is present and the best alternatives to properly mange or treat it. ...Read more

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What sort of disorder is a fistula?

Abnormal connection: A fistula is when two tubes are connected that should not be. A fistula can be located almost anywhere in the body, but most commonly in the GI system. ...Read more

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How is a fistula generally treated?

Depends on the cause: Fistulae caused by Crohn's disease can be treated with medications such as remcade. Others often require surgery or occasionally can be treated by injection with fibrin glue. ...Read more

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How do you repair a rectal fistula?

Depends on cause: Fistula from crohn's requires medical therapy and antibiotics. Sometimes setons can help. Surgery is often avoided with crohn's except in certain circumstances. Non-crohn's related fistulas are often corrected surgically. ...Read more

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What are the most common coronary diseases?

What are the most common coronary diseases?

Coronary disease: By far the most common coronary disease is atherosclerotic coronary disease, which is a common type of plaque build up that narrows the diameter of the blood vessels normally supplying blood to the heart. ...Read more

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How long does it take for a fistula to heal?

Many never do: Fistulae are notorious for never closing or healing and that is why after several months most surgeons excise them. ...Read more

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What does native coronary artert disease mean?

What does native coronary artert disease mean?

CAD: Native coronary artery disease is disease in the patients coronary arteries they were born with as opposed to disease in a bypass graft from a vein or internal mammary artery. ...Read more