Fistulization of the right coronary artery to the superior vena cava

Çullu, Neşat; Özdemir, Murat; Özlek, Eda; Yeniçeri, Önder; Altun, İbrahim

doi:10.14744/anatoljcardiol.2020.94727

Cited by 1 publication

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“…[ 1 ] In addition, there may be unusual drain sites for CAFs at times, such as inferior vena cava. [ 2 ] For diagnosis, TTE is partially helpful in determining indirect findings of a CAF (marked dilatation in coronary arteries, enlarged related heart chamber, and turbulent blood flow). Selective coronary angiography is the gold standard for the imaging of CAFs.…”

Section: Introductionmentioning

confidence: 99%

An extremely rare coronary artery fistula extending from the sinoatrial nodal artery to the right atrium

Pişkin¹,

Shahverenova²,

Akıllı³

et al. 2022

Turk Gogus Kalp Dama

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A 28-year-old female was admitted to our hospital with complaints of palpitations and fatigue. The patient's medical history was unremarkable. The physical examination revealed a hyperkinetic precordium (heart rate 108/min) and a continuous murmur (systolodiastolic) on the right side of the sternum. The patient's blood pressure was 120/70 mmHg. Electrocardiogram revealed atrial fibrillation with a high ventricular rate. Two-dimensional transthoracic echocardiography (TTE) detected a markedly enlarged right atrium and aneurysmatic right coronary ostium with no abnormalities of other cardiac structures (Figure 1a). The left ventricular ejection fraction was 60%. Selective coronary angiography revealed a tunnel-like connection that seemed like a fistula extending from the right coronary sinus of Valsalva to the right atrium (Figure 1b). The pulmonary-to-systemic blood flow ratio (Qp/Qs) was assessed as 1.18 during right cardiac catheterization. The pulmonary artery pressure was 32 mmHg.The images obtained with cardiac multidetector computed tomography (MDCT) revealed a dilated tunnel coursed from the right coronary sinus to the An extremely rare coronary artery fistula extending from the sinoatrial nodal artery to the right atrium Sinoatriyal düğüm arterinden sağ atriyuma uzanan oldukça ender bir koroner arter fistülü

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Section: Introductionmentioning

confidence: 99%