Congenital Giant Right Coronary Artery Aneurysm With Fistula to the Coronary Sinus and Persistent Left Superior Vena Cava in an Old Woman
Korean Circulation Journal
;
: 792-795, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-200130
ABSTRACT
The combination of coronary arteriovenous fistula to the coronary sinus (CS), dilatation of the entire length of coronary artery, coronary aneurysm and persistent left superior vena cava (PLSVC) is very rare. We present the case of a 63-year-old female admitted for dyspnea on exertion, orthopnea, and facial edema. Echocardiography detected a giant coronary artery with shunt flow, dilated CS and PLSVC and a coronary angiography reaffirmed these findings. The calculated ratio of pulmonary blood flow to systemic blood flow by cardiac catheterization was 1.53. After multidisciplinary review considering old age, hypoactivity due to underlying Parkinsonism and relatively small amount of shunt flow, medical therapy was chosen. The patient remained asymptomatic for 10 months after discharge without intervention.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Veia Cava Superior
/
Aneurisma Coronário
/
Ecocardiografia
/
Cateterismo Cardíaco
/
Fístula Arteriovenosa
/
Angiografia Coronária
/
Vasos Coronários
/
Transtornos Parkinsonianos
/
Dilatação
/
Dispneia
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2012
Tipo de documento:
Artigo
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