Right Coronary Artery to Left Ventricular Fistula with Giant Right Coronary Artery Aneurysm / 대한내과학회지
Korean Journal of Medicine
;
: 518-523, 2016.
Artigo
em Coreano
| WPRIM
| ID: wpr-77230
ABSTRACT
A 35-year-old male with exertional dyspnea was transferred to our hospital for evaluation of a diastolic murmur and cardiomegaly discovered by chest X-ray. Two-dimensional and Doppler echocardiographic studies revealed an aneurysmal dilation of the right coronary artery (RCA) and diastolic inflow from the RCA to the left ventricle (LV) through a myocardial defect 11 mm in diameter in the basal inferior LV wall. Coronary computed tomography angiography (CCTA) confirmed the presence of a giant RCA to LV fistula. Due to the risks for developing overt left heart failure and spontaneous rupture of the giant RCA, the RCA was obliterated surgically. Coronary-cameral fistulas are a rare congenital coronary artery anomaly. A fistula between the coronary artery and LV, especially when combined with coronary artery aneurysm, is a rare occurrence in the literature. Here, we report a case of a giant RCA to LV fistula detected by echocardiography and CCTA.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ruptura Espontânea
/
Tórax
/
Angiografia
/
Ecocardiografia
/
Sopros Cardíacos
/
Cardiomegalia
/
Anomalias dos Vasos Coronários
/
Vasos Coronários
/
Dispneia
/
Fístula
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2016
Tipo de documento:
Artigo
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