Levopravý zkrat u dospělé ženy mezi levou koronární tepnou a koronárním sinem způsobený gigantickou fistulí
| Title in English | Left-right short circuit in an adult woman between the left coronary artery and the sinus coronarius caused by a giant fistula |
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| Authors | |
| Year of publication | 2023 |
| Type | Article in Periodical |
| Magazine / Source | COR ET VASA |
| MU Faculty or unit | |
| Citation | |
| Web | https://e-coretvasa.cz/artkey/cor-202303-0017_left-right-short-circuit-in-an-adult-woman-between-the-left-coronary-artery-and-the-sinus-coronarius-caused-by.php |
| Doi | http://dx.doi.org/10.33678/cor.2022.078 |
| Keywords | Coronarography; Coronary artery fistula (CAF); Echocardiography |
| Description | Communication between coronary arteries and large arteries or heart cavities in the form of fistula is a rare anomaly occurring in about 0.1-1.0% of coronarographed patients. Our case report describes a 65-year-old patient admitted to our department for suspicious left-right short circuit. Transesophageal echocardiography was performed and revealed communication between the left coronary artery trunk and the coronary sinus. Coronary angiography and subsequent CT coronarography confirmed the finding of a gigantic fistula between the ACS strain and the coronary sinus. Due to the extent of the short circuit, cardiac surgery was indicated - fistula ligation was performed, without subsequent revascularization. In the following course, the patient's subjective condition improved whereas dyspnea and pulmonary hypertension decreased. |
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