RESUMO
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.
Assuntos
Aneurisma Coronário/complicações , Aneurisma Coronário/diagnóstico por imagem , Traumatismos Cardíacos/diagnóstico por imagem , Sopros Cardíacos/etiologia , Ventrículos do Coração/diagnóstico por imagem , Fístula Vascular/cirurgia , Acidentes de Trânsito , Adulto , Aortografia , Aneurisma Coronário/cirurgia , Angiografia Coronária , Feminino , Traumatismos Cardíacos/complicações , Ventrículos do Coração/lesões , Humanos , Anastomose de Artéria Torácica Interna-Coronária , Traumatismo Múltiplo/diagnóstico , Fraturas das Costelas/diagnóstico , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/etiologiaRESUMO
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.