Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain
We reported a patient with a fistula of the right coronary artery to the left ventricle, accompanied by dilation of the right coronary artery and persistent chest pain. This patient underwent surgical fistula closure surgery, but the fistula recurred. Persistent chest pain reappeared after encounter...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1238034/full |
| _version_ | 1797687184345530368 |
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| author | Yuehai Wang Yuehai Wang Yuqiang Zhang Yuqiang Zhang Fei Wang Yuzeng Xue |
| author_facet | Yuehai Wang Yuehai Wang Yuqiang Zhang Yuqiang Zhang Fei Wang Yuzeng Xue |
| author_sort | Yuehai Wang |
| collection | DOAJ |
| description | We reported a patient with a fistula of the right coronary artery to the left ventricle, accompanied by dilation of the right coronary artery and persistent chest pain. This patient underwent surgical fistula closure surgery, but the fistula recurred. Persistent chest pain reappeared after encountering COVID-19 infection. We analyzed the mechanism of persistent myocardial ischemic chest pain caused by coronary artery fistula in this patient, the impact of surgery on the patient's disease, the possible mechanism of COVID-19 causing persistent ischemic chest pain in this patient, and the possible mechanism of metoprolol in alleviating myocardial ischemic chest pain in this patient. |
| first_indexed | 2024-03-12T01:14:35Z |
| format | Article |
| id | doaj.art-5441b47fd4ec444a8917b8e760ecf21c |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-12T01:14:35Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-5441b47fd4ec444a8917b8e760ecf21c2023-09-13T16:33:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-09-011010.3389/fcvm.2023.12380341238034Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest painYuehai Wang0Yuehai Wang1Yuqiang Zhang2Yuqiang Zhang3Fei Wang4Yuzeng Xue5Cardiology Department, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, ChinaLaboratory Animal Center, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, ChinaCardiology Department, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, ChinaLaboratory Animal Center, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, ChinaDepartment of Cardiology, Shandong Corps Hospital of Chinese People’s Armed Police Forces, Jinan, ChinaCardiology Department, Liaocheng People’s Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, ChinaWe reported a patient with a fistula of the right coronary artery to the left ventricle, accompanied by dilation of the right coronary artery and persistent chest pain. This patient underwent surgical fistula closure surgery, but the fistula recurred. Persistent chest pain reappeared after encountering COVID-19 infection. We analyzed the mechanism of persistent myocardial ischemic chest pain caused by coronary artery fistula in this patient, the impact of surgery on the patient's disease, the possible mechanism of COVID-19 causing persistent ischemic chest pain in this patient, and the possible mechanism of metoprolol in alleviating myocardial ischemic chest pain in this patient.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1238034/fullright coronary artery fistulaischemic chest paincoronary artery dilationsteal phenomenonβ-blockerCOVID-19 |
| spellingShingle | Yuehai Wang Yuehai Wang Yuqiang Zhang Yuqiang Zhang Fei Wang Yuzeng Xue Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain Frontiers in Cardiovascular Medicine right coronary artery fistula ischemic chest pain coronary artery dilation steal phenomenon β-blocker COVID-19 |
| title | Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| title_full | Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| title_fullStr | Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| title_full_unstemmed | Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| title_short | Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| title_sort | case report right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain |
| topic | right coronary artery fistula ischemic chest pain coronary artery dilation steal phenomenon β-blocker COVID-19 |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1238034/full |
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