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Coronary Artery-Left Ventricle Fistula: A Case Report of a Rare Connection Error!

Sagar D, Hernandez A, Heimowitz T - Cureus (2015)

Bottom Line: Coronary artery fistulas (CAF) terminating in the left ventricle are rare.We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization.Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.

View Article: PubMed Central - HTML - PubMed

Affiliation: Medicine, Albert Einstein College of Medicine.

ABSTRACT
Coronary artery fistulas (CAF) terminating in the left ventricle are rare. We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization. Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.

No MeSH data available.


Related in: MedlinePlus

Cardiac catherization showing a large network of left coronary artery fistulas (arrows).
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FIG1: Cardiac catherization showing a large network of left coronary artery fistulas (arrows).

Mentions: Left heart catheterization showed a widely patent but somewhat dilated left main coronary artery, as well as left anterior descending and left circumflex arteries with no significant focal obstruction. Of note, there was a large system coronary fistula arising mainly from the left circumflex coronary artery, which was terminating into the left ventricle through the lateral wall (Figure 1). The left ventricular end-diastolic pressure was 19 mm Hg with an ejection fraction of 60% with no significant valvular abnormalities or obstructive coronary artery disease.


Coronary Artery-Left Ventricle Fistula: A Case Report of a Rare Connection Error!

Sagar D, Hernandez A, Heimowitz T - Cureus (2015)

Cardiac catherization showing a large network of left coronary artery fistulas (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494526&req=5

FIG1: Cardiac catherization showing a large network of left coronary artery fistulas (arrows).
Mentions: Left heart catheterization showed a widely patent but somewhat dilated left main coronary artery, as well as left anterior descending and left circumflex arteries with no significant focal obstruction. Of note, there was a large system coronary fistula arising mainly from the left circumflex coronary artery, which was terminating into the left ventricle through the lateral wall (Figure 1). The left ventricular end-diastolic pressure was 19 mm Hg with an ejection fraction of 60% with no significant valvular abnormalities or obstructive coronary artery disease.

Bottom Line: Coronary artery fistulas (CAF) terminating in the left ventricle are rare.We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization.Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.

View Article: PubMed Central - HTML - PubMed

Affiliation: Medicine, Albert Einstein College of Medicine.

ABSTRACT
Coronary artery fistulas (CAF) terminating in the left ventricle are rare. We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization. Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.

No MeSH data available.


Related in: MedlinePlus