Severe Form of Persistent Thebesian Veins Presenting as Ischemic Heart Disease
Korean Circulation Journal
;
: 714-717, 2012.
Article
in English
| WPRIM
| ID: wpr-89213
ABSTRACT
Coronary artery fistula is a rare congenital anomaly. Most patients with this anomaly are asymptomatic, but some may develop heart failure, myocardial ischemia or arrhythmias. We report a case of a patient who presented with myocardial ischemia secondary to persistent Thebesian veins. Coronary angiography demonstrated a marked capillary blush draining into the left ventricular cavity through multiple microfistulae from the left anterior descending artery, left circumflex artery and right coronary artery. The patient was discharged without chest pain and was medically maintained with a beta-blocker and angiotensin converting enzyme inhibitor.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arrhythmias, Cardiac
/
Arteries
/
Veins
/
Chest Pain
/
Capillaries
/
Arteriovenous Fistula
/
Coronary Angiography
/
Myocardial Ischemia
/
Peptidyl-Dipeptidase A
/
Coronary Vessel Anomalies
Limits:
Humans
Language:
English
Journal:
Korean Circulation Journal
Year:
2012
Type:
Article
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