Congenital coronary-pulmonary artery fistula originating from right and left coronary artery
Coronary artery fistula (CAF) is a rare congenital anomalywith an incidence of 1 in 50 000 live births. The fistula wasobserved at the right coronary artery in 53%, the left coronaryartery in 42% and both coronary artery in 5% of thecases. Echocardiography examination in a 46 year-oldwoman with the...
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doaj-568f7f8602774d2788efba445e3ea3082020-11-24T22:50:12ZengDicle University Medical SchoolDicle Medical Journal 1300-29451308-98892013-12-0140465966210.5798/diclemedj.0921.2013.04.0352Congenital coronary-pulmonary artery fistula originating from right and left coronary arteryAli Kemal GürAhmet KarakurtYüksel KayaCoronary artery fistula (CAF) is a rare congenital anomalywith an incidence of 1 in 50 000 live births. The fistula wasobserved at the right coronary artery in 53%, the left coronaryartery in 42% and both coronary artery in 5% of thecases. Echocardiography examination in a 46 year-oldwoman with the symptoms of chest pain, palpitation anddyspnea revealed a severe mitral valve insufficiency anda moderate to severe tricuspid valve insufficiency. A CAForiginating from the proximal part of the left anterior descendingartery (LAD) and another fistula originating fromosteal part of the right coronary artery (RCA) were detectedby coronary angiography. Both fistulas were draininginto the main pulmonary artery. The coronary artery fistulaclosed under cardiopulmonary by-pass. Mitral insufficiencyoriginated from the posterior leaflet was diagnosedintra-operative exploration, and thereafter it was repairedwith mitral annuloplasty including a quadrangular resectionand use of a 32 No St Jude mitral ring. Tricuspid valvewas repaired with Calangos Ring annuloplasty. Followingsix day hospital stay, the woman was discharged free ofany symptom.Key words: Dyspnea, double arteriovenous fistula, mitral and tricuspid insufficiencyhttp://www.diclemedj.org/upload/sayi/29/Dicle%20Med%20J-01720.pdfDyspneadouble arteriovenous fistulamitral and tricuspid insufficiency |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ali Kemal Gür Ahmet Karakurt Yüksel Kaya |
spellingShingle |
Ali Kemal Gür Ahmet Karakurt Yüksel Kaya Congenital coronary-pulmonary artery fistula originating from right and left coronary artery Dicle Medical Journal Dyspnea double arteriovenous fistula mitral and tricuspid insufficiency |
author_facet |
Ali Kemal Gür Ahmet Karakurt Yüksel Kaya |
author_sort |
Ali Kemal Gür |
title |
Congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
title_short |
Congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
title_full |
Congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
title_fullStr |
Congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
title_full_unstemmed |
Congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
title_sort |
congenital coronary-pulmonary artery fistula originating from right and left coronary artery |
publisher |
Dicle University Medical School |
series |
Dicle Medical Journal |
issn |
1300-2945 1308-9889 |
publishDate |
2013-12-01 |
description |
Coronary artery fistula (CAF) is a rare congenital anomalywith an incidence of 1 in 50 000 live births. The fistula wasobserved at the right coronary artery in 53%, the left coronaryartery in 42% and both coronary artery in 5% of thecases. Echocardiography examination in a 46 year-oldwoman with the symptoms of chest pain, palpitation anddyspnea revealed a severe mitral valve insufficiency anda moderate to severe tricuspid valve insufficiency. A CAForiginating from the proximal part of the left anterior descendingartery (LAD) and another fistula originating fromosteal part of the right coronary artery (RCA) were detectedby coronary angiography. Both fistulas were draininginto the main pulmonary artery. The coronary artery fistulaclosed under cardiopulmonary by-pass. Mitral insufficiencyoriginated from the posterior leaflet was diagnosedintra-operative exploration, and thereafter it was repairedwith mitral annuloplasty including a quadrangular resectionand use of a 32 No St Jude mitral ring. Tricuspid valvewas repaired with Calangos Ring annuloplasty. Followingsix day hospital stay, the woman was discharged free ofany symptom.Key words: Dyspnea, double arteriovenous fistula, mitral and tricuspid insufficiency |
topic |
Dyspnea double arteriovenous fistula mitral and tricuspid insufficiency |
url |
http://www.diclemedj.org/upload/sayi/29/Dicle%20Med%20J-01720.pdf |
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