A Case of Coronary Cameral Fistula: When and How to Intervene?
Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2020-10-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/970 |
| _version_ | 1818369009395957760 |
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| author | Mehdi Peighambari Marziyeh Pakbaz Azin Alizadehasl Saeid Hosseini Hamidreza Pouraliakbar |
| author_facet | Mehdi Peighambari Marziyeh Pakbaz Azin Alizadehasl Saeid Hosseini Hamidreza Pouraliakbar |
| author_sort | Mehdi Peighambari |
| collection | DOAJ |
| description | Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up. |
| first_indexed | 2024-12-13T23:17:01Z |
| format | Article |
| id | doaj.art-b5264782c6f64a24b29bc4f4c148e24f |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-13T23:17:01Z |
| publishDate | 2020-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-b5264782c6f64a24b29bc4f4c148e24f2022-12-21T23:27:54ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712020-10-0115410.18502/jthc.v15i4.5946A Case of Coronary Cameral Fistula: When and How to Intervene?Mehdi Peighambari0Marziyeh Pakbaz1Azin Alizadehasl2Saeid Hosseini3Hamidreza Pouraliakbar4Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up.https://jthc.tums.ac.ir/index.php/jthc/article/view/970Heart Defects; CongenitalFistulaComputed tomography angiography |
| spellingShingle | Mehdi Peighambari Marziyeh Pakbaz Azin Alizadehasl Saeid Hosseini Hamidreza Pouraliakbar A Case of Coronary Cameral Fistula: When and How to Intervene? Journal of Tehran University Heart Center Heart Defects; Congenital Fistula Computed tomography angiography |
| title | A Case of Coronary Cameral Fistula: When and How to Intervene? |
| title_full | A Case of Coronary Cameral Fistula: When and How to Intervene? |
| title_fullStr | A Case of Coronary Cameral Fistula: When and How to Intervene? |
| title_full_unstemmed | A Case of Coronary Cameral Fistula: When and How to Intervene? |
| title_short | A Case of Coronary Cameral Fistula: When and How to Intervene? |
| title_sort | case of coronary cameral fistula when and how to intervene |
| topic | Heart Defects; Congenital Fistula Computed tomography angiography |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/970 |
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