Spontaneous Closure of Iatrogenic Coronary Artery Fistula to Left Ventricle After Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy
Journal of Korean Medical Science
; : 1111-1114, 2006.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-174091
Responsible library:
WPRO
ABSTRACT
Cases of iatrogenic coronary artery fistulas draining into the left ventricle after surgical myectomy for hypertrophic obstructive cardiomyopathy have been published as sporadic reports. However, its management scheme and prognosis are not clear because of the low incidence. A 46-yr-old woman was hospitalized for evaluation of chest pain and shortness of breath for 3 months. Transthoracic echocardiographic examination showed typical hypertrophic obstructive cardiomyopathy with a peak pressure gradient of 71 mmHg across the left ventricular outflow tract. The patient underwent surgical septal myectomy. Postoperative color Doppler imaging revealed a diastolic blood flow from the interventricular septal myocardium to the left ventricular cavity, i.e. iatrogenic coronary artery fistula to the left ventricle. Ten days later, the fistula closed spontaneously which was diagnosed by transthoracic echocardiography and confirmed by coronary angiography.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Cardiovascular Surgical Procedures
/
Cardiomyopathy, Hypertrophic
/
Vascular Fistula
/
Coronary Vessel Anomalies
/
Heart Septum
/
Heart Ventricles
/
Iatrogenic Disease
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2006
Document type:
Article