A Case of Coronary Cameral Fistula: When and How to Intervene?
| Autor: | Hamidreza Pouraliakbar, Azin Alizadehasl, Mehdi Peighambari, Saeid Hosseini, Marziyeh Pakbaz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fistula Case Report Anterior Descending Coronary Artery Internal medicine medicine.artery medicine Diseases of the circulatory (Cardiovascular) system Computed tomography angiography medicine.diagnostic_test business.industry Heart Defects Congenital medicine.disease Heart Defects* Congenital medicine.anatomical_structure Great vessels Ventricle Right coronary artery Heart failure RC666-701 Cardiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Tehran University Heart Center, Vol 15, Iss 4 (2020) Scopus-Elsevier The Journal of Tehran University Heart Center |
| ISSN: | 2008-2371 1735-8620 |
| Popis: | Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up. |
| Databáze: | OpenAIRE |
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