A Case of Coronary Cameral Fistula: When and How to Intervene?

Abstract

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.

Fistula Arteri Koroner

“…Langkah pertama untuk diagnosis CAF setelah pemeriksaan menyeluruh anamnesis dan pemeriksaan fisik biasanya ekokardiografi. 8 Fistula yang lebih besar dapat menyebabkan gagal jantung kongestif atau angina pada bayi atau orang dewasa paruh baya atau lebih tua. 15 Sebagian besar kasus CAF tidak menunjukkan gejala dan didiagnosis secara kebetulan ketika melakukan pemeriksaan klinis rutin (Tabel 1).…”