Transcatheter embolisation of an enlarging acquired coronary arteriovenous fistula in a heart transplant recipient.
نویسندگان
چکیده
A 50 year old, recent cardiac transplant recipient developed systolic and diastolic murmurs but remained asymptomatic. The cause of the murmurs was not evident at transthoracic echocardiography. During routine left heart catheterisation a left anterior descending artery to right ventricular fistula was evident arising from the distal vessel and presumably acquired during routine endomyocardial biopsy. One year later, the patient remained asymptomatic but the calibre of the left anterior descending artery had increased and there appeared to be poor flow in to the proximal branches. The fistula was successfully treated by percutaneous deployment of two detachable embolisation coils in to the distal left anterior descending artery.
منابع مشابه
Correction of myocardial ischaemia after transcatheter embolisation of a small left coronary artery venous fistula.
A 50 year old woman presented with a history of angina and palpitation. She had a positive exercise test and thallium scintigraphy showed reversible ischaemia in the territory of the left anterior descending coronary artery. Coronary angiography showed a small coronary arteriovenous fistula arising from the bifurcation of the left main stem--that is, the origin of the left anterior descending a...
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Feruglio GA. La chiusura percutanea delle fistole arteriose coronariche congenite e iatrogene. G Ial Cardiol 1995;25: 1381-7. 5 Uchida N, Baudet E, Roques X, Laborde N, Billes MA. Surgical experience of coronary artery-right ventricular fistula in a heart transplant recipient. Eur J Cardiothorac Surg 1995;9:106-8. 6 Shimabukuro M, Shinzato T, Yoshida H, Nagamine F, Takasu N, Koja K. Late compli...
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عنوان ژورنال:
- Heart
دوره 78 2 شماره
صفحات -
تاریخ انتشار 1997