Open AccessA Case of Coronary Cameral Fistula: When and How to Intervene?
Author(s) -
Mehdi Peighambari,
Marziyeh Pakbaz,
Azin Alizadehasl,
Saeid Hosseini,
Hamidreza Pouraliakbar
Publication year - 2021
Publication title -
the journal of tehran university heart center./the journal of tehran university heart center
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 13
eISSN - 2008-2371
pISSN - 1735-8620
DOI - 10.18502/jthc.v15i4.5946
Subject(s) - medicine , fistula , circumflex , right coronary artery , artery , cardiology , ventricle , coronary steal , coronary arteries , left coronary artery , radiology , auscultation , coronary angiography , myocardial infarction
Coronary artery fistulas constitute a rare anomaly defined as an abnormal communication between a coronary artery and a great vessel or any cardiac chamber. The majority of these fistulas arise from the right coronary artery and the left anterior descending coronary artery; the circumflex coronary artery is rarely involved. We present an unusual case of a coronary artery fistula in a middle-aged woman who presented with symptoms of heart failure and abnormal auscultation. Echocardiography and conventional and computed tomography angiography showed that the coronary fistula originated from the left circumflex coronary artery and drained majorly into the right ventricle. Given the complex anatomy of the fistula, we managed it surgically rather than percutaneously. There were no complications early after surgery and at 1 year’s follow-up.