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Coronary Anomaly and Coronary Artery Fistula as Cause of Angina Pectoris with Literature Review

Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anoma...

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Detalles Bibliográficos
Autores principales: Koneru, Jayanth, Samuel, Anish, Joshi, Meherwan, Hamden, Aiman, Shamoon, Fayez E., Bikkina, Mahesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420628/
https://www.ncbi.nlm.nih.gov/pubmed/22937462
http://dx.doi.org/10.1155/2011/486187
Descripción
Sumario:Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.