Left circumflex coronary arteriovenous fistula presenting as acute coronary syndrome
| Autor: | Arunkumar Panneerselvam, Manjunath Cholenahally Nanjappa, Ravindranath Khandenahally Shankarappa |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Coronary arteriovenous fistula medicine.diagnostic_test business.industry Unstable angina Physical examination Auscultation medicine.disease Asymptomatic Article Coronary artery disease Internal medicine cardiovascular system medicine Cardiology cardiovascular diseases Circumflex medicine.symptom Coronary vessel anomalies Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiology Cases. 2:e92-e95 |
| ISSN: | 1878-5409 |
| DOI: | 10.1016/j.jccase.2010.03.008 |
| Popis: | Summary Coronary arteriovenous fistula (CAVF) is a rare congenital anomaly that is seen in 0.1–0.2% of coronary angiograms. A 79-year-old man with no risk factors for coronary artery disease, presented with unstable angina and normal clinical examination. Coronary angiogram revealed a large left circumflex coronary artery with multiple aneurysms exiting into right atrium. Although coil embolization was feasible, he was managed conservatively as he responded to medications. This case shows that large CAVF can be asymptomatic up to the 7th decade of life, manifest as acute coronary syndrome, can present without any murmur on auscultation, and medical management can be effective. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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