The "bias" of television coverage of the Vietnam war is assessed through content analysis of a representative sample of evening newscasts shown by NBC and CBS during 1969 and 1970. Frank D. Russo is a student at Yale University.
Patient: Female, 57Final Diagnosis: Coronary sinus – venous fistulaSymptoms: DispnoeaMedication: —Clinical Procedure: —Specialty: CardiologyObjective:Rare diseaseBackground:Coronary arterial fistula, or arteriovenous malformation (AVM), is a connection between the coronary tree and a cardiac chamber or great vessel, having bypassed the myocardial capillary bed. Known complications from coronary artery fistulas may include “steal” from the adjacent myocardium, resulting in myocardial ischemia.Case Report:We report the case of a 57-year-old Hispanic woman with abnormal preoperative electrocardiogram (ECG) and symptoms of dyspnea on exertion, who underwent a stress echocardiography demonstrating inferior distribution hypokinesis at peak exercise. Coronary computed tomography angiography (CCTA) demonstrated a venous fistula connecting the coronary sinus (CS) with the distal portion of the left anterior descending artery (LAD), occupying the territory of a left posterior descending artery (L-PDA) and corresponding in distribution with the patient’s stress-induced wall motion abnormalities.Conclusions:Anomalous left anterior descending artery to coronary sinus fistula with associated ischemia is a rare clinical dilemma with limited experience of success with either surgical or medical options.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.