TY - JOUR T1 - Coronary Artery Fistula within Large Left Atrial Thrombus in a Patient with Rheumatic Mitral Stenosis: A Case Report and Review TT - Romatizmal Mitral Stenozu Olan Hastada Büyük Sol Atriyal Trombüs İçine Doğru Seyreden Koroner Arter Fistülü AU - Altıntaş, Bernas AU - Altıntaş, Derya Deniz AU - Baysal, Erkan AU - Gökdeniz, Tayyar PY - 2017 DA - August JF - Koşuyolu Heart Journal PB - Kartal Koşuyolu Yüksek İhtisas EAH WT - DergiPark SN - 2149-2972 SP - 175 EP - 178 VL - 20 IS - 2 LA - en AB - Coronaryartery fistulae, which are connections between coronary artery branches andcardiac chambers or major vessels, are usually congenital forms of coronaryartery anomalies, but rarely may be acquired because of cardiac trauma,neovascularity in association with cardiac neoplasm, mural thrombus formation,or iatrogenic causes. Although half of the patients with coronary arteryfistula remain asymptomatic, these fistulae may lead to angina, syncope,congestive heart failure, myocardial infarction, and sudden death. Here wepresent a case of coronary artery fistula between right coronary artery andleft atrium through a large left atrial thrombus in a patient with rheumaticmitral stenosis. The diagnosis was confirmed using echocardiography,conventional and multislice computed tomography, and coronary angiography. Tothe best of our knowledge, this interesting and unique entity is the first tobe reported in the present literature. KW - Coronary artery fistula KW - left atrial thrombus KW - rheumatic mitral stenosis N2 - Koronerarter dalları ile kardiyak boşluklar veya büyük damarlar arasındaki normal dışıbağlantılar olan koroner arter fistülleri (KAF) genellikle koroner arter anomalilerininkonjenital formlarıdır. Fakat nadiren kardiyak travma, iyatrojenik nedenlerveya kardiyak neoplazm ve mural trombüs oluşumu ile ilişkilineovaskülarizasyona ikincil edinsel olabilir. KAF’ı olan hastaların yaklaşıkyarısının asemptomatik kalmasına rağmen bu fistüller anjina, senkop, konjestifkalp yetmezliği, miyokart infarktüsü ve ani ölüme yol açabilirler. Bu yazıdaromatizmal mitral kapak stenozu olan bir hastada sağ koroner arter (RCA) ilesol atriyum (LA) arasında, büyük LA trombüs içine açılan KAF’ı sunuyoruz. Tanı2 boyutlu ekokardiyografi, konvansiyonel koroner anjiyografi ve çok kesitlibilgisayarlı tomografik koroner anjiyografi kullanılarak doğrulandı. Bildiğimizkadarı ile bu ilginç ve benzersiz durum mevcut literatürde ilk defa raporlanmıştır. CR - 1. Sunder SKR, Balakrishnan KG, Tharakan JA, Titus T, Pillai, Francis B, et al. Coronary artery fistula in children and adults: a review of 25 cases with long-term observations. Int J Cardiol 1997;58:47-53. CR - 2. Luo L, Kebede S, Wu S, Stouffer GA. 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