A Case of Three Major Coronary Arteries to Left Ventricular Fistulae via Common Channel
Korean Circulation Journal
;
: 271-274, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-16613
ABSTRACT
Multiple coronary arteries to communicating with the left ventricular fistulae is a very rare congenital anomaly in adults. This anomaly involves three major coronary arteries that have a direct communication between these arteries and the left ventricle. Hemodynamically, it induces myocardial ischemia due to coronary steal syndrome and diastolic volume overload from a left-to-left shunt. A 70-year-old woman with essential hypertension was admitted to our clinic to evaluate complaints of exertional dyspnea. Clinical examination revealed a diastolic murmur at the apex. A coronary angiogram showed a common fistular channel connecting the right coronary artery, the left circumflex coronary artery, and the first large diagonal branch of the left anterior descending coronary artery with the left ventricular chamber. The patient's symptoms were relieved by the administration of calcium channel blocker and angiotensin II receptor blocker. We report a very rare case of three major coronary arteries communicating to the left ventricular fistulae via a common channel.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Receptores de Angiotensina
/
Canais de Cálcio
/
Sopros Cardíacos
/
Isquemia Miocárdica
/
Anomalias dos Vasos Coronários
/
Vasos Coronários
/
Dispneia
/
Fístula
/
Ventrículos do Coração
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Circulation Journal
Ano de publicação:
2002
Tipo de documento:
Artigo
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