ABSTRACT
A case of a 33 year-old female with continuous murmur was admitted to the hospital for diagnostic purposes. TEE was inconclusive. Coronary angiography revealed an aneurysm of left anterior descending with the fistula to the right ventricle. The patient underwent implantation of inset of left internal mammary artery graft and ligation of fistula during open heart surgery.
Subject(s)
Coronary Aneurysm/complications , Coronary Aneurysm/diagnostic imaging , Heart Injuries/diagnostic imaging , Heart Murmurs/etiology , Heart Ventricles/diagnostic imaging , Vascular Fistula/surgery , Accidents, Traffic , Adult , Aortography , Coronary Aneurysm/surgery , Coronary Angiography , Female , Heart Injuries/complications , Heart Ventricles/injuries , Humans , Internal Mammary-Coronary Artery Anastomosis , Multiple Trauma/diagnosis , Rib Fractures/diagnosis , Vascular Fistula/diagnostic imaging , Vascular Fistula/etiologyABSTRACT
A 35-year-old female, mother of 4 children was admitted to the hospital for coronary angiography before scheduled surgical correction of severe mitral insufficiency. During angiography anomalous ostium of left main artery from pulmonary trunk was found. The patient underwent mitral ring correction, implantation of LIMA-LAD graft and ligation of left coronary artery during open heart surgery.