Abnormal left and right coronary‑to‑aortic arch and main and right pulmonary artery fistulas in a 63‑year‑old patient | Zendy

Anton Chrustowicz | Zendy; Grzegorz Gajos | Zendy; Kinga Kiszka | Zendy; Edyta Stodółkiewicz | Zendy; Jadwiga Nessler | Zendy; Andrzej Gackowski | Zendy

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Abnormal left and right coronary‑to‑aortic arch and main and right pulmonary artery fistulas in a 63‑year‑old patient

Author(s) -

Anton Chrustowicz,

Grzegorz Gajos,

Kinga Kiszka,

Edyta Stodółkiewicz,

Jadwiga Nessler,

Andrzej Gackowski

Publication year - 2013

Publication title -

polskie archiwum medycyny wewnętrznej

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.436

H-Index - 35

eISSN - 1897-9483

pISSN - 0032-3772

DOI - 10.20452/pamw.1895

Subject(s) - medicine , cardiology , right pulmonary artery , aortic arch , right coronary artery , pulmonary artery , left coronary artery , left pulmonary artery , aorta , artery , coronary angiography , myocardial infarction

498 A 63‐year‐old woman was admitted to the hos‐ pital with typical chest pain at rest and 1‐mm ST depression in leads V3 through V6. The symptoms were relieved by intravenous administration of ni‐ troglycerine. The results of the troponin test were negative. Prodromal symptoms occurred 2 weeks earlier. Mild limitation of exercise tolerance was present since childhood. A physical examination was unremarkable except for 2/6 left paraster‐ nal murmur. An electrocardiogram showed sinus rhythm and incomplete right bundle branch block (RBBB). Urgent coronary angiography showed smooth nonobstructed epicardial arteries and the presence of an arterial small vessel network CLINICAL IMAGE

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