Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas
Coronary artery fistulas are abnormal connections between the coronary arteries with a heart chamber or any of the major blood vessels. Fistulous connections between systemic arteries and pulmonary vessels are even less frequent. We present a case of a 71-year-old man with symptoms of dyspnea, exerc...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323001243 |
| _version_ | 1797854532037771264 |
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| author | Bryam López, MD Milagros Batallanos, MD |
| author_facet | Bryam López, MD Milagros Batallanos, MD |
| author_sort | Bryam López, MD |
| collection | DOAJ |
| description | Coronary artery fistulas are abnormal connections between the coronary arteries with a heart chamber or any of the major blood vessels. Fistulous connections between systemic arteries and pulmonary vessels are even less frequent. We present a case of a 71-year-old man with symptoms of dyspnea, exercise intolerance, and ventricular arrhythmia who attended the emergency department. Coronary angiography revealed bilateral coronary fistulas drained into the pulmonary circulation. Computed tomography angiography revealed the presence of fistulas arising from the descending aorta, right internal mammary artery, and subclavian arteries, all these drained into the pulmonary circulation. Due to the rarity of the disease, there are no international guidelines for the management of coronary fistulas and the treatment is controversial. Coronary artery fistula is a rare pathology that should be included in the differential diagnosis of heart failure and ventricular arrhythmia. |
| first_indexed | 2024-04-09T20:08:41Z |
| format | Article |
| id | doaj.art-5e793517fe12418e97719bbe548433f9 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-09T20:08:41Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-5e793517fe12418e97719bbe548433f92023-04-01T08:46:22ZengElsevierRadiology Case Reports1930-04332023-05-0118518481851Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulasBryam López, MD0Milagros Batallanos, MD1Corresponding author.; Department of Cardiology, National Hospital Edgardo Rebagliati Martins, Avenida Edgardo Rebagliati 490, Jesús María, Lima 15072, PerúDepartment of Cardiology, National Hospital Edgardo Rebagliati Martins, Avenida Edgardo Rebagliati 490, Jesús María, Lima 15072, PerúCoronary artery fistulas are abnormal connections between the coronary arteries with a heart chamber or any of the major blood vessels. Fistulous connections between systemic arteries and pulmonary vessels are even less frequent. We present a case of a 71-year-old man with symptoms of dyspnea, exercise intolerance, and ventricular arrhythmia who attended the emergency department. Coronary angiography revealed bilateral coronary fistulas drained into the pulmonary circulation. Computed tomography angiography revealed the presence of fistulas arising from the descending aorta, right internal mammary artery, and subclavian arteries, all these drained into the pulmonary circulation. Due to the rarity of the disease, there are no international guidelines for the management of coronary fistulas and the treatment is controversial. Coronary artery fistula is a rare pathology that should be included in the differential diagnosis of heart failure and ventricular arrhythmia.http://www.sciencedirect.com/science/article/pii/S1930043323001243Coronary artery fistulaHeart failureVentricular arrhythmiaCoronary angiography |
| spellingShingle | Bryam López, MD Milagros Batallanos, MD Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas Radiology Case Reports Coronary artery fistula Heart failure Ventricular arrhythmia Coronary angiography |
| title | Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas |
| title_full | Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas |
| title_fullStr | Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas |
| title_full_unstemmed | Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas |
| title_short | Coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia, associated with multiple large vessel fistulas |
| title_sort | coronary artery fistulas as a rare cause of heart failure and ventricular arrhythmia associated with multiple large vessel fistulas |
| topic | Coronary artery fistula Heart failure Ventricular arrhythmia Coronary angiography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323001243 |
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