Circumflex Coronary Artery Fistula Draining into Coronary Sinus

Coronary artery fistula draining into the coronary sinus is a rare vascular malformation, and its diagnosis and clinical manifestations usually occur late. We describe the case of a 72-year-old female patient with dyspnea on exertion (New York Heart Association Class III) associated with palpitation...

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Detalles Bibliográficos
Autores principales: Silva, Gabriela Carvalho, Silva, Diana Patricia Lamprea Sepulveda, Tenorio, Euclides, dos Santos Filho, Edmilson Cardoso, de Oliveira, Fabiana Michelle Feitosa, Torres, João Henrique de Andrade, Correia, Patrícia Eduardo Teles, Ferreira, Clístanes Lucas Henrique, da Silva, Petrus Thiago Jorge Lopes, Moraes, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2022
Materias:
Educational Forum
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670356/
https://www.ncbi.nlm.nih.gov/pubmed/35436077
http://dx.doi.org/10.21470/1678-9741-2021-0254
Descripción
Sumario:Coronary artery fistula draining into the coronary sinus is a rare vascular malformation, and its diagnosis and clinical manifestations usually occur late. We describe the case of a 72-year-old female patient with dyspnea on exertion (New York Heart Association Class III) associated with palpitations. The transthoracic echocardiogram showed significant tricuspid insufficiency. Cardiac catheterization showed aneurysm of the circumflex coronary artery and fistula of this artery draining into the coronary sinus. The patient underwent fistula ligation and tricuspid valve repair, with excellent surgical results.

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