A Coronary Artery-left Ventricular Fistula through the Sinusoid

A 78-year-old woman was referred to our hospital because of repetitive suppurative arthritis at the artificial left knee joint. Her plasma brain natriuretic peptide level was 122 pg/mL. A 12-lead electrocardiogram showed a QS pattern in the inferior leads. A two-dimensional echocardiogram revealed h...

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Autores principales: Sato, Koji, Misumi, Ikuo, Nagano, Miwa, Arima, Ryohei, Ehara, Shota, Sakamoto, Takashi, Usuku, Hiroki, Kaikita, Koichi, Tsujita, Kenichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710385/
https://www.ncbi.nlm.nih.gov/pubmed/34053990
http://dx.doi.org/10.2169/internalmedicine.7454-21
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author Sato, Koji
Misumi, Ikuo
Nagano, Miwa
Arima, Ryohei
Ehara, Shota
Sakamoto, Takashi
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
author_facet Sato, Koji
Misumi, Ikuo
Nagano, Miwa
Arima, Ryohei
Ehara, Shota
Sakamoto, Takashi
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
author_sort Sato, Koji
collection PubMed
description A 78-year-old woman was referred to our hospital because of repetitive suppurative arthritis at the artificial left knee joint. Her plasma brain natriuretic peptide level was 122 pg/mL. A 12-lead electrocardiogram showed a QS pattern in the inferior leads. A two-dimensional echocardiogram revealed hypokinesis at the inferior wall and hypertrophy at the apical lateral wall. Color flow imaging revealed this hypertrophic region to be a myocardial sinusoid, demonstrating diastolic coronary to left ventricular flow and early systolic flow vice versa. This was a very rare case of coronary to left ventricular fistula through a sinusoid without cyanotic congenital heart disease or severe coronary artery disease.
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spelling pubmed-87103852022-01-25 A Coronary Artery-left Ventricular Fistula through the Sinusoid Sato, Koji Misumi, Ikuo Nagano, Miwa Arima, Ryohei Ehara, Shota Sakamoto, Takashi Usuku, Hiroki Kaikita, Koichi Tsujita, Kenichi Intern Med Case Report A 78-year-old woman was referred to our hospital because of repetitive suppurative arthritis at the artificial left knee joint. Her plasma brain natriuretic peptide level was 122 pg/mL. A 12-lead electrocardiogram showed a QS pattern in the inferior leads. A two-dimensional echocardiogram revealed hypokinesis at the inferior wall and hypertrophy at the apical lateral wall. Color flow imaging revealed this hypertrophic region to be a myocardial sinusoid, demonstrating diastolic coronary to left ventricular flow and early systolic flow vice versa. This was a very rare case of coronary to left ventricular fistula through a sinusoid without cyanotic congenital heart disease or severe coronary artery disease. The Japanese Society of Internal Medicine 2021-05-29 2021-12-01 /pmc/articles/PMC8710385/ /pubmed/34053990 http://dx.doi.org/10.2169/internalmedicine.7454-21 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sato, Koji
Misumi, Ikuo
Nagano, Miwa
Arima, Ryohei
Ehara, Shota
Sakamoto, Takashi
Usuku, Hiroki
Kaikita, Koichi
Tsujita, Kenichi
A Coronary Artery-left Ventricular Fistula through the Sinusoid
title A Coronary Artery-left Ventricular Fistula through the Sinusoid
title_full A Coronary Artery-left Ventricular Fistula through the Sinusoid
title_fullStr A Coronary Artery-left Ventricular Fistula through the Sinusoid
title_full_unstemmed A Coronary Artery-left Ventricular Fistula through the Sinusoid
title_short A Coronary Artery-left Ventricular Fistula through the Sinusoid
title_sort coronary artery-left ventricular fistula through the sinusoid
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710385/
https://www.ncbi.nlm.nih.gov/pubmed/34053990
http://dx.doi.org/10.2169/internalmedicine.7454-21
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