Giant coronary artery fistula: A case report.

Autor:	Trang PT; Department of Internal Medicine, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Cuong TC; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Cuong NM; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Tin DN; Department of Pediatrics, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Tran Tran N; Department of Internal Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam., Thang LM; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Hoa T; Department of Internal Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Dung BT; Department of Cardiology, University Medical Center HCMC, Ho Chi Minh City, Vietnam., Hieu TB; Coronary Care Unit, Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam., Duc NM; Department of Radiology, Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung Ward 12 Distric…, Ho Chi Minh City, 700000, Vietnam.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2023 May 26; Vol. 18 (8), pp. 2621-2627. Date of Electronic Publication: 2023 May 26 (Print Publication: 2023).
DOI:	10.1016/j.radcr.2023.05.003
Abstrakt:	Coronary artery fistulas (CAFs) are abnormal connections of coronary arteries where venous circuits bypass the normal capillaries in the myocardium. CAFs are rare, and most patients are asymptomatic. However, CAFs are the most common coronary artery anomalies affecting coronary hemodynamics. While most CAFs are asymptomatic in young patients, symptoms and complications become more frequent with increasing age. CAFs are characterized by variable clinical manifestations based on their size, origin, and drainage site. We describe a 35-year-old woman presenting with the shortness of breath after walking. Despite attempting medical treatment, the patient continued to experience dyspnea, fatigue, fainting the and chest pain episodes. After admission, cardiac imaging was immediately performed and recorded symptomatic CAFs. Percutaneous transcatheter closure treatment was indicated. The patient was discharged with clinical recovery. The treatment of symptomatic CAFs often requires the clear cardiac imaging and endovascular approach to achieve the best clinical results. (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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