At surgery, a fistula with an external diameter of 1 mm was identified between the anterior interventricular artery and the pulmonary trunk, with a shunt toward the pulmonary artery tree. The fistula was disconnected with suture. The anomalous origin of the coronary artery was not detected. As a result, the systolic murmur disappeared and the electrocardiogram showed a normal ventricular repola...

Giant coronary artery aneurysm with a fistula is a rare condition. The presence of a giant aneurysm imposes considerable health risks. We report a case of a 67-year-old woman who presented with frequent ventricular premature contractions caused by a giant coronary aneurysm arising from a branch of the left anterior descending coronary artery that had a fistulous connection to the pulmonary arte...

The Doppler echocardiographic features of coronary arteriovenous fistula were investigated in eight patients with left or right coronary arteriovenous fistulas who had a continuous heart murmur in the upper precordial area and whose diagnoses were confirmed by coronary angiography. In four patients the dilated lumen of the coronary arteriovenous fistula was visualised by cross sectional echocar...

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...

INTRODUCTION Systemic embolisation of stents represents a rare complication of coronary interventions. REPORT The case of a patient with peripheral embolisation of a coronary stent while undergoing a coronary procedure for an ischaemic event is reported. The stent lodged at a previously created iatrogenic fistula joining the profunda femoral artery and the common femoral vein. An endovascular...

Coronary artery fistula (CAF) is a direct communication between a coronary artery and the lumen of any of the cardiac chambers, i.e. the coronary sinus, the pulmonary artery, the superior vena cava or the proximal pulmonary veins. The majority of these fistulas are congenital in origin although they may occasionally be detected after cardiac surgery. Congenital CAF is a rare anomaly and aneurys...

A 58-year-old female with a history of Wolff-Parkinson-White syndrome presented at our institution with palpitations and chest pain. Electrocardiography revealed paroxysmal supraventricular tachycardia with a heart rate of 188 beats/min. Antiarrhythmic drugs were ineffective, and tachycardia was resolved by electrical cardioversion. Transthoracic echocardiography revealed abnormal vessels aroun...

DOI: 10.5935/abc.20150139 A 79-year-old man with prior aortic valve replacement was admitted to our hospital due to exertional angina. Single-photon emission computed tomography revealed ischemia at the territory of the left anterior descending artery (LAD) and the right coronary artery (RCA) (Figures 1 A and B). Coronary arteriography (Figures 1 C and D) and cardiac computed tomographic angiog...

A congenital coronary artery fistula (CCAF) combined with giant aneurysm (CAA) is a rare cardiac abnormality. We reported an 8-year-old patient who underwent transcatheter closure of both inlet and outlet proximal left (LCA)-to-left ventricular (LV) CAA 41 mm × 28 in diameter, during which acute occlusion anterior descending (LAD) occurred immediately after device implantation at the fistula. m...