Right coronary artery stenosis unmasking ischemia in a patient with bilateral coronary pulmonary fistulas
نویسندگان
چکیده
Introduction Coronary artery fistulas (CAF) are congenital or acquired formations between the coronary arteries and cardiac chambers or other vascular structures such as the vena cava, pulmonary artery, or veins [1]. Most of these are found incidentally during angiography [2]. Fistulas account for half of all coronary anomalies and are present in 0.002% of the general population. Coronary to pulmonary artery fistulas comprise 15–30% of coronary anomaly cases and only 5% of these involve bilateral coronary arteries [3].
منابع مشابه
Congenital bilateral coronary artery to pulmonary artery fistulas associated with left main trunk stenosis.
A rare case of a 57-year-old patient who presented with an acute coronary syndrome with incidental discovery of bilateral coronary arteriovenous fistulas originating from both coronary arteries to the pulmonary artery trunk and coronary artery atherosclerosis.
متن کاملCoronary fistulas: a case series.
Coronary artery fistula is an uncommon finding during angiographic exams. We report a case series of five patients with congenital coronary fistulas. The first patient was 56 years old and had a coronary fistula associated with a partial atrio ventricular defect, the second patient was 54 years old and had two fistulas originating from the right coronary artery with a severe atherosclerotic cor...
متن کاملSurgical treatment of bilateral coronary-to-pulmonary artery fistulas.
Bilateral coronary artery fistulas with the coronary artery stenosis are rare. In this case, we successfully performed closure of coronary artery fistulas with coronary artery bypass grafting. Furthermore, we were able to measure the flow in the coronary artery fistulas using transit-time flow measurement.
متن کاملDual Fistula Origınating from Left Anterior Descending Coronary Artery; Off-Pump Surgical Closure Technique
The incidence of multiple fistulas within all coronary arteriovenous fistulas varies between 10.7% and 16%. Double coronary-arteriovenous fistulas originating from a coronary artery are much less common. In this study, we present a double fistula originating from left anterior descending coronary artery and communicating with main pulmonary artery. A 72-year-old female patient was admitted to o...
متن کاملAn unusual case of dual coronary artery fistulas to main pulmonary artery.
Coronary artery fistula is an anomaly in which a coronary artery directly connects to a cardiac chamber or great vessel. Its incidence is around 0.1 to 1% in the adult population. Dual coronary artery fistulas are far less common and their incidence is estimated to be around 5% in patients with this anomaly. Closure of the fistulas is indicated in patients with myocardial ischemia, large left t...
متن کامل