| Successful percutaneous closure of a complex coronary-to-pulmonary artery fistula using a detachable balloon: benefits of intra-procedural physiologic and angiographic assessment. | |
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MedLine Citation:
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PMID: 1863956 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 48-yr-old woman presented with a loud continuous precordial murmur and symptoms of fatigue. Color-flow doppler imaging and nuclear magnetic resonance imaging failed to show the cause of the murmur. Diagnostic catheterization showed a large left anterior descending coronary artery to pulmonary artery fistula with impaired left ventricular wall motion. Two detachable balloons were deployed in the fistula with complete abolition of flow in the main fistula channel. A small parallel channel of the fistula, previously not appreciated due to vessel overlap, remained patent but had trivial flow as assessed by green-dye and oximetric techniques. The patient had immediate resolution of her symptoms and return of normal ventricular wall motion. |
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Authors:
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A J Doorey; K L Sullivan; D C Levin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 23 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1991 May |
Date Detail:
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Created Date: 1991-09-06 Completed Date: 1991-09-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7508512 Medline TA: Cathet Cardiovasc Diagn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 23-7 Citation Subset: IM |
Affiliation:
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Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiography Arterio-Arterial Fistula / radiography, therapy* Balloon Dilatation / instrumentation* Coronary Angiography Coronary Disease / radiography, therapy* Embolization, Therapeutic / instrumentation, methods* Female Humans Middle Aged Monitoring, Intraoperative Pulmonary Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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