BACKGROUND Congenital coronary artery fistula can lead to symptoms of chest tightness,chest pain,or exertional dyspnea,which is a congenital vascular malformation that should not be ignored.Patients who have such malf...BACKGROUND Congenital coronary artery fistula can lead to symptoms of chest tightness,chest pain,or exertional dyspnea,which is a congenital vascular malformation that should not be ignored.Patients who have such malformations are frequently observed with different concurrent abnormal anatomic structures.Collateral circulation may have a positive effect on improving the patients'symptoms.CASE SUMMARY A 53-year-old female experienced episodic chest discomfort for the past month with symptoms manifesting when she was agitated or overexerted.After a positive treadmill test,the patient underwent coronary angiography.“Ghostlike”intermittent appearance of coronary ventricular fistula and collateral branching were observed.The patient was diagnosed with a right coronary ventricular fistula and collateral circulation.CONCLUSION This case shows the likelihood of collateral circulation in patients with coronary artery fistula.This may provide medical staff with novel solutions to treat insufficiency of myocardial blood supply induced by cardiovascular malformations.展开更多
基金Scientific Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine,NO.20212061Guangdong Province Basic and Applied Research Fund Project,NO.2020A1515110520.
文摘BACKGROUND Congenital coronary artery fistula can lead to symptoms of chest tightness,chest pain,or exertional dyspnea,which is a congenital vascular malformation that should not be ignored.Patients who have such malformations are frequently observed with different concurrent abnormal anatomic structures.Collateral circulation may have a positive effect on improving the patients'symptoms.CASE SUMMARY A 53-year-old female experienced episodic chest discomfort for the past month with symptoms manifesting when she was agitated or overexerted.After a positive treadmill test,the patient underwent coronary angiography.“Ghostlike”intermittent appearance of coronary ventricular fistula and collateral branching were observed.The patient was diagnosed with a right coronary ventricular fistula and collateral circulation.CONCLUSION This case shows the likelihood of collateral circulation in patients with coronary artery fistula.This may provide medical staff with novel solutions to treat insufficiency of myocardial blood supply induced by cardiovascular malformations.
