Case Report
BibTex RIS Cite

İntermediate Koroner Arterden Sol Ventriküle Multipl Mikro Fistüller: Nadir Bir Anomali

Year 2015, Volume: 12 Issue: 3, 380 - 382, 30.12.2015

Abstract

75 yaşında bayan hasta göğüs ağrısı şikâyetiyle kliniğimize başvuruda bulundu. Yapılan anjiyografide
sol intermediyer arterden sol ventriküle çok sayıda mikrofistüllerin açıldığı ve kritik darlıkların olduğu
saptandı. Sol sisteme verilen radyokontrast ajan normal ejeksiyon fraksiyonlu optimal ventrikülografiyi
taklit eder tarzda enteresan bir görüntü oluşturdu. Hasta koroner arter bypass cerrahisi sonrasında medikal
tedavi ve endokardit proflaksisiyle sağlıklı olarak takip edilmektedir. Sol ventriküle drene olan koroner
fistüller diğerlerine göre daha az rastlanmakta olup, eğer fonksiyonel kardiyak bozukluğa neden oluyorlarsa
tedavi açısından dikkate alınmalıdırlar.

References

  • 1. Ghandour A, Rajiah P. Unusual fistulas and connections in the cardiovascular system: A pictorial review. World J Radiol. 2014; 6(5): 169-76.
  • 2. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol. 2006; 107(1): 7-10.
  • 3. Said SA, van der Werf T. Dutch survey of congenital coronary artery fistulas in adults: coronary artery-left ventricular multiple micro-fistulas multi-center observational survey in the Netherlands. Int J Cardiol. 2006;110(1):33-9.
  • 4. Dursun A, Demirbag R, Yildiz A, Sezen Y, Altiparmak IH, Yilmaz R. Diagnosis of the left circumflex coronary artery fistula drainage into the left ventricle by echocardiographic color Doppler flow imaging. Int J Cardiol. 2009;134(3):e85-6.
  • 5. Hackett D, Hallidie-Smith KA. Spontaneous closure of coronary artery fistula. Br Heart J 1984;52(4):477–9.

Multiple Micro Fistulas from Intermediate Coronary Artery to Left Ventricle: A Rare Anomaly

Year 2015, Volume: 12 Issue: 3, 380 - 382, 30.12.2015

Abstract

A 75 year old female patient with chest pain was admitted to our clinic. The angiography showed
multiple coronary micro fistulas from left intermediate artery drained into left ventricle and critical coronary
stenoses. Contrast agent injected through left main coronary artery caused an interesting image mimicking
optimal ventriculography with normal ejection fraction. The patient has been followed up with health after
coronary artery bypass grafting operation with subsequent endocarditis prophylaxis and guideline directed
medical therapy. Coronary fistulas to left ventricle are rarely encountered than the others, and they should be
considered in terms of treatment if the fistulas cause functional disorder of the heart

References

  • 1. Ghandour A, Rajiah P. Unusual fistulas and connections in the cardiovascular system: A pictorial review. World J Radiol. 2014; 6(5): 169-76.
  • 2. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol. 2006; 107(1): 7-10.
  • 3. Said SA, van der Werf T. Dutch survey of congenital coronary artery fistulas in adults: coronary artery-left ventricular multiple micro-fistulas multi-center observational survey in the Netherlands. Int J Cardiol. 2006;110(1):33-9.
  • 4. Dursun A, Demirbag R, Yildiz A, Sezen Y, Altiparmak IH, Yilmaz R. Diagnosis of the left circumflex coronary artery fistula drainage into the left ventricle by echocardiographic color Doppler flow imaging. Int J Cardiol. 2009;134(3):e85-6.
  • 5. Hackett D, Hallidie-Smith KA. Spontaneous closure of coronary artery fistula. Br Heart J 1984;52(4):477–9.
There are 5 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

İbrahim Halil Altıparmak

Muslihittin Emre Erkuş

Emre Ayas This is me

Erhan Kaya This is me

Özgür Günebakmaz

Recep Demirbağ

Publication Date December 30, 2015
Submission Date May 26, 2015
Acceptance Date July 4, 2015
Published in Issue Year 2015 Volume: 12 Issue: 3

Cite

Vancouver Altıparmak İH, Erkuş ME, Ayas E, Kaya E, Günebakmaz Ö, Demirbağ R. Multiple Micro Fistulas from Intermediate Coronary Artery to Left Ventricle: A Rare Anomaly. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(3):380-2.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty