Document Detail


Heart failure due to coronary fistulas from the right and left coronary circulation into the right atrium.
MedLine Citation:
PMID:  19834329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with a history of hypertension presented with worsening shortness of breath, fatigue, and productive cough with blood-tinged sputum. A continuous murmur was heard at the lower sternum and chest X-ray showed mild cardiomegaly. A dilated right atrium with moderately elevated pulmonary artery pressures was detected by transthoracic echocardiogram. Stress ECG did not reveal any inducible ischemia. Cardiac catheterization demonstrated an RCA aneurysm with fistula to the right atrium and a circumflex artery fistula to the right atrium, which were corrected by surgery.
Authors:
Joseph Yeboah; Kwame Akosah; Gorav Ailawadi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  517-8     Citation Subset:  IM    
Affiliation:
Heart and Vascular Center, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Coronary Artery Bypass, Off-Pump
Coronary Artery Disease / complications*,  diagnosis,  surgery
Echocardiography, Stress
Echocardiography, Transesophageal
Fistula / complications*,  diagnosis,  surgery
Heart Atria / radiography,  ultrasonography
Heart Diseases / complications*,  diagnosis,  surgery
Heart Failure / diagnosis,  etiology*,  surgery
Humans
Male
Tomography, X-Ray Computed
Treatment Outcome
Vascular Fistula / complications*,  diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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