| Autor: |
Darwin, Lyndon, Sembiring, Yan Efrata, Sediono Pribadi, Oky Revianto |
| Předmět: |
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| Zdroj: |
Indian Journal of Forensic Medicine & Toxicology; Jul-Sep2021, Vol. 15 Issue 3, p3462-3469, 8p |
| Abstrakt: |
Coronary artery fistula is a rare anomaly of coronary artery. It represents connection between one or more of coronary arteries and cardiac chamber or great vessel. It can also cause significant hemodynamic changes. To report cases of left anterior descending coronary artery (LAD) fistula to main pulmonary artery (MPA) with concomitant triple vessel disease.Case 1 was 59-year old male presented with intermittent chest discomfort for a year. Echocardiogram showed severe MR with cleft at A1 and A2 and coronary angiogram result showed LAD fistulation to MPA. Case 2 was 57-year old male presented with chest discomfort and at the left shoulder. Echocardiogram showed trivial MR and coronary angiogram showed triple vessel disease along with tortuous fistulation of LAD to MPA. Both patients underwent teflonpledget-reinforced direct suturing of fistula origin and 3-grafts coronary artery bypass graft. Patient no 1 also underwent mitral annuloplasty and valvuloplasty.Post-operative period was uneventful and both patients were discharged after 17 days and 5 days respectively. Short term follow-up showed improvement of symptoms and no residual fistulation.In short term follow-up teflonpledget-reinforced direct suturing of coronary fistula origin result satisfactory. Larger study and further follow up is necessary. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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