Open AccessLarge coronary artery fistula
Author(s) -
Po-Rong Tzeng,
Kuo-Chen Lee,
Jeng Wei,
Yi-Cheng Chuang,
Chung-Yi Chang
Publication year - 2015
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2015.04.002
Subject(s) - medicine , heart failure , fistula , cardiology , ligation , artery , pulmonary artery , edema , right coronary artery , surgery , pulmonary edema , shunt (medical) , coronary angiography , myocardial infarction , lung
SummaryWe present a case of congestive heart failure with pulmonary artery hypertension caused by a left-to-right shunt. Physical examination on admission revealed hypertension, arrhythmia, a diastolic murmur over the bilateral sternal borders, and a pitting edema over both lower legs. Imaging studies revealed a large coronary artery fistula (CAF). After ligation of the fistula, the patient recovered adequately and was discharged. Although cases of CAF have been reported and clinical presentations such as congestive heart failure are not rare, CAFs require particular attention, because they typically exhibit a varied clinical course. We present this case to share our experience regarding myocardial protection and help practitioners prevent misdiagnosis or delayed treatment for such cases