Coronary Arteriovenous Fistula Draining Into Persistent Left Superior Vena Cava.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30878458.
- Also identified by DOI 10.1016/j.athoracsur.2019.01.082.
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Abstract
A 75-year-old woman was referred to our hospital for dyspnea and edema of the lower limbs. Computed tomography angiography revealed a dilated left coronary artery from the left main trunk to the left circumflex branch and a dilated fistula originating from the left circumflex branch and draining into the persistent left superior vena cava. Physical examination revealed pulmonary hypertension and congestive heart failure. We performed closure of the fistula and left main coronary artery orifice and coronary artery bypass grafting. Postoperative computed tomography angiography showed patency of all grafts and progression of thrombosis in the dilated abnormal vessels.
Medical subject headings
- Arteriovenous Fistula
- Coronary Artery Disease
- Vascular Malformations
- Vena Cava, Superior