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Arq. bras. cardiol ; 91(2): e11-e13, ago. 2008. ilus
Article in English, Portuguese | LILACS | ID: lil-488901

ABSTRACT

A fístula coronariana é uma anomalia caracterizada por comunicação entre uma artéria coronária e uma câmara cardíaca, artéria pulmonar, seio coronariano e veias pulmonares. Representa 0,2 por cento a 0,4 por cento das cardiopatias congênitas e 0,1 por cento a 0,2 por cento da população adulta submetida a angiografia coronariana. Relatamos o caso clínico de uma paciente com 64 anos, cuja anomalia foi diagnosticada durante investigação clínica por desconforto torácico, dispnéia e síncope, sendo indicada correção cirúrgica com abertura da artéria pulmonar através de circulação extracorpórea.


The coronary fistula is an anomaly characterized by the communication between a coronary artery and a cardiac chamber, pulmonary artery, coronary sinus and pulmonary veins. It represents 0.2 to 0.4 percent of the congenital cardiopathies and 0.1 percent to 0.2 percent of the adult population submitted to coronary angiography. We report the clinical case of a 64-year-old female patient, whose anomaly was diagnosed during a clinical investigation due to chest discomfort, dyspnea and syncope; the surgical correction was indicated, with opening of the pulmonary artery through extracorporeal circulation.


Subject(s)
Female , Humans , Middle Aged , Arterio-Arterial Fistula/complications , Coronary Vessel Anomalies/complications , Hypertension, Pulmonary/etiology , Pulmonary Artery/abnormalities , Arterio-Arterial Fistula/diagnosis , Arterio-Arterial Fistula/surgery , Coronary Vessel Anomalies/diagnosis , Coronary Vessel Anomalies/surgery , Pulmonary Artery/surgery
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