İntermediate Koroner Arterden Sol Ventriküle Multipl Mikro Fistüller: Nadir Bir Anomali
Year 2015,
Volume: 12 Issue: 3, 380 - 382, 30.12.2015
İbrahim Halil Altıparmak
,
Muslihittin Emre Erkuş
,
Emre Ayas
Erhan Kaya
Özgür Günebakmaz
,
Recep Demirbağ
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
İbrahim Halil Altıparmak
,
Muslihittin Emre Erkuş
,
Emre Ayas
Erhan Kaya
Özgür Günebakmaz
,
Recep Demirbağ
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.