Coronary Artery Fistula Medication

Updated: Dec 15, 2020
  • Author: Monesha Gupta, MD, MBBS, FAAP, FACC, FASE; Chief Editor: Stuart Berger, MD  more...
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Medication Summary

The primary therapeutic approach to coronary artery fistula (CAF) is interventional catheterization or surgery. Although medical therapy is seldom indicated, patients may require symptomatic treatment of congestive heart failure and/or coronary insufficiency until definitive treatment can be performed.

All patients should have good oral hygiene because they are at risk for endocarditis. Antibiotics for endocarditis prophylaxis are no longer required for isolated coronary artery fistulas before performing procedures that may cause bacteremia. However, endocarditis prophylaxis is indicated in the setting of a cyanotic congenital heart disease. For more information, see Antibiotic Prophylactic Regimens for Endocarditis. Guidelines for antibiotic prophylaxis in cardiac surgery have been established. [16, 17]