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Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review

BACKGROUND: Coronary artery fistula and single coronary artery are two different rare congenital anomalies. The cases with co-existed the two anomalies are more rare. To the best of our knowledge with literature review, the coronary artery fistula between single right coronary artery and right pulmo...

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Autores principales: Xie, Li-Jian, Zhang, Li, Xiao, Ting-Ting, Shen, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681080/
https://www.ncbi.nlm.nih.gov/pubmed/26674589
http://dx.doi.org/10.1186/s12872-015-0166-2
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author Xie, Li-Jian
Zhang, Li
Xiao, Ting-Ting
Shen, Jie
author_facet Xie, Li-Jian
Zhang, Li
Xiao, Ting-Ting
Shen, Jie
author_sort Xie, Li-Jian
collection PubMed
description BACKGROUND: Coronary artery fistula and single coronary artery are two different rare congenital anomalies. The cases with co-existed the two anomalies are more rare. To the best of our knowledge with literature review, the coronary artery fistula between single right coronary artery and right pulmonary artery has not been previously reported. CASE PRESENTATION: In the present article, we report a Chinese patient (a 8-month-old male) who presented cyanosis when cried and heart murmur. The cardiac angiography confirmed coronary artery fistula between single coronary artery arising from the right aortic sinus and right pulmonary artery. Furthermore, the right pulmonary artery was interrupted with main pulmonary artery and the pulmonary blood supplied by single right coronary artery. Following the surgical procedure, the anomalous fistula vessel was cut and sutured. The right pulmonary artery was reconstructed to connect with main pulmonary artery. The patient had an uneventful postoperative course and discharged. Then we reviewed the related literature with Medline and Pubmed databases for further details. CONCLUSION: We believe our patient is the very particular case about coronary artery fistula combined with single coronary artery, and it is first reported with our literature review. As other coronary anomalies, coronary or aortic root angiography is the gold standard method for the diagnosis. Furthermore, early surgery is an optimal treatment in our case. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12872-015-0166-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-46810802015-12-17 Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review Xie, Li-Jian Zhang, Li Xiao, Ting-Ting Shen, Jie BMC Cardiovasc Disord Case Report BACKGROUND: Coronary artery fistula and single coronary artery are two different rare congenital anomalies. The cases with co-existed the two anomalies are more rare. To the best of our knowledge with literature review, the coronary artery fistula between single right coronary artery and right pulmonary artery has not been previously reported. CASE PRESENTATION: In the present article, we report a Chinese patient (a 8-month-old male) who presented cyanosis when cried and heart murmur. The cardiac angiography confirmed coronary artery fistula between single coronary artery arising from the right aortic sinus and right pulmonary artery. Furthermore, the right pulmonary artery was interrupted with main pulmonary artery and the pulmonary blood supplied by single right coronary artery. Following the surgical procedure, the anomalous fistula vessel was cut and sutured. The right pulmonary artery was reconstructed to connect with main pulmonary artery. The patient had an uneventful postoperative course and discharged. Then we reviewed the related literature with Medline and Pubmed databases for further details. CONCLUSION: We believe our patient is the very particular case about coronary artery fistula combined with single coronary artery, and it is first reported with our literature review. As other coronary anomalies, coronary or aortic root angiography is the gold standard method for the diagnosis. Furthermore, early surgery is an optimal treatment in our case. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12872-015-0166-2) contains supplementary material, which is available to authorized users. BioMed Central 2015-12-16 /pmc/articles/PMC4681080/ /pubmed/26674589 http://dx.doi.org/10.1186/s12872-015-0166-2 Text en © Xie et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Xie, Li-Jian
Zhang, Li
Xiao, Ting-Ting
Shen, Jie
Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title_full Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title_fullStr Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title_full_unstemmed Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title_short Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
title_sort coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681080/
https://www.ncbi.nlm.nih.gov/pubmed/26674589
http://dx.doi.org/10.1186/s12872-015-0166-2
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