Document Detail


Coronary artery fistula: An unusual cause of chest pain in a young adult.
MedLine Citation:
PMID:  21538782     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Coronary artery fistula, usually congenital in origin, is an abnormal communication between a coronary artery and a cardiac chamber or great vessel (coronary sinus, pulmonary artery, pulmonary vein or super vena cava). A coronary fistula can produce high output heart failure from volume overload and/or myocardial ischemia from coronary steal phenomenon. A 35 year-old male was found to have a large fistula from the left circumflex coronary artery to the superior vena cava - right atrium junction, an extremely rare anomaly. This patient developed right ventricular dysfunction and chest pain due to myocardial ischemia in the left circumflex coronary artery distribution for several months prior to evaluation. Due to the large size of the fistula, surgical ligation was chosen instead of coil embolization to close the fistula. The patient was chest pain free post-procedure. Coronary artery fistulas, though rare, should be considered in the differential diagnosis when a young patient presents with chest pain and/or heart failure. © 2011 Wiley-Liss, Inc.
Authors:
Konstantinos Dean Boudoulas; Paaladinesh Thavendiranathan; Michael Firstenberg
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-28
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-5-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Internal Medicine, Division of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA. kdboudoulas@osumc.edu.
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