Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding

Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these fistulas are congenital in nature but can be acquired secondary to trauma or invasive cardiac procedures. These fistulas most commonly originate in the right c...

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Autores principales: Minhas, Abdul Mannan Khan, Ul Haq, Ehtesham, Awan, Ahmed Arslan Yousuf, Khan, Arshad Ameer, Qureshi, Ghazanfar, Balakrishna, Pragathi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5282412/
https://www.ncbi.nlm.nih.gov/pubmed/28194284
http://dx.doi.org/10.1155/2017/8071281
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author Minhas, Abdul Mannan Khan
Ul Haq, Ehtesham
Awan, Ahmed Arslan Yousuf
Khan, Arshad Ameer
Qureshi, Ghazanfar
Balakrishna, Pragathi
author_facet Minhas, Abdul Mannan Khan
Ul Haq, Ehtesham
Awan, Ahmed Arslan Yousuf
Khan, Arshad Ameer
Qureshi, Ghazanfar
Balakrishna, Pragathi
author_sort Minhas, Abdul Mannan Khan
collection PubMed
description Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these fistulas are congenital in nature but can be acquired secondary to trauma or invasive cardiac procedures. These fistulas most commonly originate in the right coronary artery and terminate into the right ventricle and least frequently drain into the left ventricle. Depending upon their size and location, coronary-cameral fistulas can lead to congestive heart failure, myocardial infarction, and bacterial endocarditis. We describe a case of 49-year-old woman who presented with worsening exertional dyspnea and leg swelling. Transthoracic echocardiogram revealed an ejection fraction of 35%. Cardiac catheterization demonstrated a fistula connecting the left anterior descending artery and the first obtuse marginal artery to the left ventricle. In this report, the authors provide a concise review on coronary fistulas, complications, and management options.
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spelling pubmed-52824122017-02-13 Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding Minhas, Abdul Mannan Khan Ul Haq, Ehtesham Awan, Ahmed Arslan Yousuf Khan, Arshad Ameer Qureshi, Ghazanfar Balakrishna, Pragathi Case Rep Cardiol Case Report Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations. The majority of these fistulas are congenital in nature but can be acquired secondary to trauma or invasive cardiac procedures. These fistulas most commonly originate in the right coronary artery and terminate into the right ventricle and least frequently drain into the left ventricle. Depending upon their size and location, coronary-cameral fistulas can lead to congestive heart failure, myocardial infarction, and bacterial endocarditis. We describe a case of 49-year-old woman who presented with worsening exertional dyspnea and leg swelling. Transthoracic echocardiogram revealed an ejection fraction of 35%. Cardiac catheterization demonstrated a fistula connecting the left anterior descending artery and the first obtuse marginal artery to the left ventricle. In this report, the authors provide a concise review on coronary fistulas, complications, and management options. Hindawi Publishing Corporation 2017 2017-01-17 /pmc/articles/PMC5282412/ /pubmed/28194284 http://dx.doi.org/10.1155/2017/8071281 Text en Copyright © 2017 Abdul Mannan Khan Minhas et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Minhas, Abdul Mannan Khan
Ul Haq, Ehtesham
Awan, Ahmed Arslan Yousuf
Khan, Arshad Ameer
Qureshi, Ghazanfar
Balakrishna, Pragathi
Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_full Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_fullStr Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_full_unstemmed Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_short Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_sort coronary-cameral fistula connecting the left anterior descending artery and the first obtuse marginal artery to the left ventricle: a rare finding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5282412/
https://www.ncbi.nlm.nih.gov/pubmed/28194284
http://dx.doi.org/10.1155/2017/8071281
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