Coronary cameral fistula with left main coronary artery aneurysm: A challenging case
Coronary fistulae with cardiac chambers (cameral fistulae) are rare congenital vascular anomalies. Here, we are reporting a case of a 25-year-old male patient who presented with a history of palpitation and chest pain. He was evaluated further and on cardiac multi-slice computed tomography, he was d...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Practice of Cardiovascular Sciences |
| Subjects: | |
| Online Access: | http://www.j-pcs.org/article.asp?issn=2395-5414;year=2023;volume=9;issue=1;spage=87;epage=90;aulast=Desai |
| _version_ | 1797773831396392960 |
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| author | Devvrat Desai Jignesh Kothari |
| author_facet | Devvrat Desai Jignesh Kothari |
| author_sort | Devvrat Desai |
| collection | DOAJ |
| description | Coronary fistulae with cardiac chambers (cameral fistulae) are rare congenital vascular anomalies. Here, we are reporting a case of a 25-year-old male patient who presented with a history of palpitation and chest pain. He was evaluated further and on cardiac multi-slice computed tomography, he was diagnosed to have an extremely rare coronary cameral fistula arising from the left main coronary artery, traversing tortuously between aortic roots anteriorly and left atrium posteriorly, and culminating into superior vena cava just before the cavoatrial junction. Intraoperative complexity was encountered due to the presence of a large left main coronary aneurysm and aneurysmally dilated superior vena cava. Elective surgery was performed on cardiopulmonary bypass with aortic and bicaval (high superior vena cava) cannulation. Cardioplegia delivery was challenging due to the presence of a large fistulous connection between the aortic root and superior vena cava. The patient was operated on successfully for coronary cameral fistula and symptoms resolved. |
| first_indexed | 2024-03-12T22:11:06Z |
| format | Article |
| id | doaj.art-9d59033cd8ff45c6a199c90c19b1e5f5 |
| institution | Directory Open Access Journal |
| issn | 2395-5414 2454-2830 |
| language | English |
| last_indexed | 2024-03-12T22:11:06Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Practice of Cardiovascular Sciences |
| spelling | doaj.art-9d59033cd8ff45c6a199c90c19b1e5f52023-07-23T11:42:06ZengWolters Kluwer Medknow PublicationsJournal of the Practice of Cardiovascular Sciences2395-54142454-28302023-01-0191879010.4103/jpcs.jpcs_54_22Coronary cameral fistula with left main coronary artery aneurysm: A challenging caseDevvrat DesaiJignesh KothariCoronary fistulae with cardiac chambers (cameral fistulae) are rare congenital vascular anomalies. Here, we are reporting a case of a 25-year-old male patient who presented with a history of palpitation and chest pain. He was evaluated further and on cardiac multi-slice computed tomography, he was diagnosed to have an extremely rare coronary cameral fistula arising from the left main coronary artery, traversing tortuously between aortic roots anteriorly and left atrium posteriorly, and culminating into superior vena cava just before the cavoatrial junction. Intraoperative complexity was encountered due to the presence of a large left main coronary aneurysm and aneurysmally dilated superior vena cava. Elective surgery was performed on cardiopulmonary bypass with aortic and bicaval (high superior vena cava) cannulation. Cardioplegia delivery was challenging due to the presence of a large fistulous connection between the aortic root and superior vena cava. The patient was operated on successfully for coronary cameral fistula and symptoms resolved.http://www.j-pcs.org/article.asp?issn=2395-5414;year=2023;volume=9;issue=1;spage=87;epage=90;aulast=Desaicoronary cameral fistulaleft main coronary aneurysmleft main coronary arterymachinery murmurpalpable thrill |
| spellingShingle | Devvrat Desai Jignesh Kothari Coronary cameral fistula with left main coronary artery aneurysm: A challenging case Journal of the Practice of Cardiovascular Sciences coronary cameral fistula left main coronary aneurysm left main coronary artery machinery murmur palpable thrill |
| title | Coronary cameral fistula with left main coronary artery aneurysm: A challenging case |
| title_full | Coronary cameral fistula with left main coronary artery aneurysm: A challenging case |
| title_fullStr | Coronary cameral fistula with left main coronary artery aneurysm: A challenging case |
| title_full_unstemmed | Coronary cameral fistula with left main coronary artery aneurysm: A challenging case |
| title_short | Coronary cameral fistula with left main coronary artery aneurysm: A challenging case |
| title_sort | coronary cameral fistula with left main coronary artery aneurysm a challenging case |
| topic | coronary cameral fistula left main coronary aneurysm left main coronary artery machinery murmur palpable thrill |
| url | http://www.j-pcs.org/article.asp?issn=2395-5414;year=2023;volume=9;issue=1;spage=87;epage=90;aulast=Desai |
| work_keys_str_mv | AT devvratdesai coronarycameralfistulawithleftmaincoronaryarteryaneurysmachallengingcase AT jigneshkothari coronarycameralfistulawithleftmaincoronaryarteryaneurysmachallengingcase |