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Absent proximal right coronary artery with a fistula into the pulmonary vein
Author(s) -
Florian Blaschke,
Alexander Baur,
Matthias Rose,
P. Attanasio,
C. Özcelik,
W. Haverkamp,
LeifHendrik Boldt
Publication year - 2012
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eus090
Subject(s) - medicine , right coronary artery , fistula , cardiology , vein , pulmonary artery , pulmonary vein , radiology , artery , right pulmonary artery , angiography , coronary angiography , atrial fibrillation , myocardial infarction
A 32-year-old woman was admitted with a third-degree atrioventricular block. A permanent pacemaker was implanted and the patient was discharged. One week later, the patient presented again with a sustained ventricular tachycardia. Coronary angiography and computed tomography imaging with three-dimensional reconstructions revealed the absence of the proximal part of the right coronary artery (RCA) with a fistula into the pulmonary vein. This is the first case describing an absent proximal RCA combined with a pulmonary vein fistula.

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