Coronary arteriovenous fistula （CAVF） is an uncommon anomaly, occurring 0.1% to 0.2% atcoronary angiography. Although majority of CAVF are small and silent, they may cause fistula-related complications, especially i...Coronary arteriovenous fistula （CAVF） is an uncommon anomaly, occurring 0.1% to 0.2% atcoronary angiography. Although majority of CAVF are small and silent, they may cause fistula-related complications, especially in the elderly patients. Therapeutic strategies for CAVF have not been clearly defined because of uncertainty of its natural history. Surgical repair for CAVF is generally recommended in the presence of symptoms of heart failure or significant left-to-right shunt. Various devices have been used during interventional treatment of CAVF through percutaneous approach.3 In this study, we report a rare female case of coronary-pulmonary artery fistula concomitant with a giant saccular coronary artery aneurysm, arising from the left anterior descending artery and draining into pulmonary artery. It was eventually closed by percutaneous intervention with coils.展开更多
Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume over...Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume overload. We report a case of a 53 years old female presenting with dyspnea on exertion, orthopnea and angina. Echocardiography and computed tomography are suggestive of a fistulous communication of RCA to CS with aneurysm of RCA. Patient was treated surgically and is asymptomatic after three years of follow up.展开更多
文摘Coronary arteriovenous fistula （CAVF） is an uncommon anomaly, occurring 0.1% to 0.2% atcoronary angiography. Although majority of CAVF are small and silent, they may cause fistula-related complications, especially in the elderly patients. Therapeutic strategies for CAVF have not been clearly defined because of uncertainty of its natural history. Surgical repair for CAVF is generally recommended in the presence of symptoms of heart failure or significant left-to-right shunt. Various devices have been used during interventional treatment of CAVF through percutaneous approach.3 In this study, we report a rare female case of coronary-pulmonary artery fistula concomitant with a giant saccular coronary artery aneurysm, arising from the left anterior descending artery and draining into pulmonary artery. It was eventually closed by percutaneous intervention with coils.
文摘Right coronary artery (RCA) communicating to coronary sinus (CS) resulting in aneurysmal dilatation of RCA is a rare congenital anomaly, usually presenting late with complication of left to right shunt and volume overload. We report a case of a 53 years old female presenting with dyspnea on exertion, orthopnea and angina. Echocardiography and computed tomography are suggestive of a fistulous communication of RCA to CS with aneurysm of RCA. Patient was treated surgically and is asymptomatic after three years of follow up.
