Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age

Coronary fistulas are abnormal connections which form between coronary arteries and cardiac chambers or other vessels. Fistulas are frequently congenital and sometimes may be acquired. In 9% of the cases the symptoms appear before the age of 20. After the age of 20, 55% of the cases become symptomat...

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Main Authors: Abdulmelik Yildiz, Bayram Bagirtan
Format: Article
Language:English
Published: Cukurova University 2013-08-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=33793
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author Abdulmelik Yildiz
Bayram Bagirtan
author_facet Abdulmelik Yildiz
Bayram Bagirtan
author_sort Abdulmelik Yildiz
collection DOAJ
description Coronary fistulas are abnormal connections which form between coronary arteries and cardiac chambers or other vessels. Fistulas are frequently congenital and sometimes may be acquired. In 9% of the cases the symptoms appear before the age of 20. After the age of 20, 55% of the cases become symptomatic. The rate of being symptomatic increases further in advanced ages. The symptoms may be related with coronary ischemia, pumonary hypertension, heart failure or arrhthymia. The mechanism of coronary ischemia may be related with the phenomenon of coronary steal or runoff. Although the symptoms are frequently related with coronary ischemia in the geriatric age group, most symptoms which occur before the age of 20 are related with left-to-right shunt. The aim of the presentation of this patient was to examine the pathophysiology of occurence of a congenital coronary fistula with angina, ischemia and dyspnea in the geriatric age after staying asymptomatic for years. [Cukurova Med J 2013; 38(4.000): 783-786]
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spelling doaj.art-986b2fcd3b6f41448f3aa272a0f849652023-02-15T16:16:30ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502013-08-01384783786Coronary Fistula as a Cause of Coronary Ischemia in Geriatric AgeAbdulmelik YildizBayram BagirtanCoronary fistulas are abnormal connections which form between coronary arteries and cardiac chambers or other vessels. Fistulas are frequently congenital and sometimes may be acquired. In 9% of the cases the symptoms appear before the age of 20. After the age of 20, 55% of the cases become symptomatic. The rate of being symptomatic increases further in advanced ages. The symptoms may be related with coronary ischemia, pumonary hypertension, heart failure or arrhthymia. The mechanism of coronary ischemia may be related with the phenomenon of coronary steal or runoff. Although the symptoms are frequently related with coronary ischemia in the geriatric age group, most symptoms which occur before the age of 20 are related with left-to-right shunt. The aim of the presentation of this patient was to examine the pathophysiology of occurence of a congenital coronary fistula with angina, ischemia and dyspnea in the geriatric age after staying asymptomatic for years. [Cukurova Med J 2013; 38(4.000): 783-786]http://www.scopemed.org/fulltextpdf.php?mno=33793Geriatric AgeCoronary FistulaCoronary Ischemia
spellingShingle Abdulmelik Yildiz
Bayram Bagirtan
Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Geriatric Age
Coronary Fistula
Coronary Ischemia
title Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
title_full Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
title_fullStr Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
title_full_unstemmed Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
title_short Coronary Fistula as a Cause of Coronary Ischemia in Geriatric Age
title_sort coronary fistula as a cause of coronary ischemia in geriatric age
topic Geriatric Age
Coronary Fistula
Coronary Ischemia
url http://www.scopemed.org/fulltextpdf.php?mno=33793
work_keys_str_mv AT abdulmelikyildiz coronaryfistulaasacauseofcoronaryischemiaingeriatricage
AT bayrambagirtan coronaryfistulaasacauseofcoronaryischemiaingeriatricage