Surgical procedure for coronary artery ectasia associated with saccular fistula
| Autor: | Mitsutaka Jinbou, Tsuyoshi Takahashi, Satoshi Saito, Masanori Murakami, Takeshi Yagi, Hidenori Gohra, Siro Ono, Kotaro Shiomi, Kimikazu Hamano, Toshiro Kobayashi |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Fistula Heart Diseases Heart Ventricles Ectasia Internal medicine medicine.artery medicine Humans cardiovascular diseases Circumflex Ultrasonography Vascular Fistula Tricuspid valve business.industry Coronary artery ectasia Endocarditis Bacterial Middle Aged medicine.disease Aneurysm Coronary Vessels Radiography medicine.anatomical_structure Infective endocarditis Right coronary artery Cardiology Heart murmur Female medicine.symptom Cardiology and Cardiovascular Medicine business Dilatation Pathologic |
| Zdroj: | Heart, lungcirculation. 23(9) |
| ISSN: | 1444-2892 |
| Popis: | Echocardiography of a 60 year-old woman with a three-year history of heart murmur revealed a coronary artery fistula. Coronary angiography indicated right coronary artery ectasia and fistula. The pulmonary-to-systemic blood flow ratio was 1.4, and left-to-right shunt, 29%. On follow-up, infective endocarditis of the tricuspid valve had developed and was treated using antibiotics. The right coronary artery was dilated along its length and was saccular at the distal aspect. At this point, a fistula also connected by the left anterior descending and left circumflex arteries drained into the right ventricle. Fistula closure and reduction aneurysmectomy were performed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect