A Rapidly Progressing Native Coronary Artery to an Aneurysm Due to Distal Coronary to Ventricular Fistula- causing Anginal Chest Pain
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 19, Issue 10
Abstract
Coronary artery fistula (CAF) is a rare congenital or acquired coronary anomaly. Although the majority of patients with CAF are asymptomatic, many of them present with angina pectoris, atypical chest pain, palpitation, fatigue, bacterial endocarditis, congestive heart failure, pericardial effusion and sudden cardiac death. We present a case of coronary artery fistula with recurrent episodes of chest pain that were thought to be resulting from coronary artery atherosclerosis. His left heart catheterization showed right coronary artery to left ventricular fistula that was not believed to be causing his chest discomfort as it was small and was left untreated. He continued to have these symptoms until fistula was repaired. Interestingly his fistula leads to a large coronary artery aneurysm over a short period of time. Our case is important with the fact that in the symptomatic patient with untreated fistula might get complicated and would lead to persistent symptoms.
Authors and Affiliations
Pooja Sethi, Ghulam Murtaza, Muhammad F. Khalid, Timir K. Paul
Keywords
Related Articles
- EP ID EP311142
- DOI 10.9734/BJMMR/2017/31268
- Views 52
- Downloads 0
Cytokines and Defensins in Tissue Biopsies Obtained by Bronchoscopy from Patients with Post-Intubation Tracheal Stenosis
Aims: The objective of our study was to perform the routine analysis of bronchoscopically obtained tracheal samples to determine the appearance and relative distribution of cytokines and antimicrobial proteins in patient...
Tranexamic Acid as Prophylactic Therapy for Intra and Post Partum Hemorrhage, Randomized Controlled Trial
Objective: To evaluate the role of TXA in minimizing the incidence of postpartum hemorrhage after cesarean delivery. Methodology: This is a randomized placebo controlled study conducted on 169 patients who subjected to e...
Profile of Juvenile Idiopathic Arthritis Observed in Abidjan (Cote d’Ivoire): A Report about 17 Cases
Background: Juvenile idiopathic arthritis is the most common rheumatic disease in children. Compared to Western countries, very few studies have been devoted to this disease in black sub-Saharan Africa. The aim is to des...
Assessment of Oral Health Knowledge, Attitude and Practices among Medical Students of Taibah University in Madinah, KSA
Introduction: Oral health is as important as any part of the body and can greatly influence the human beings' normal life and well-being. Better oral health can be achieved with increased awareness and proper oral health...
Endodontic Repair Filling Materials: A Review Article
The emergence of Mineral Trioxide Aggregate (MTA) as endodontic repair filling material has generated a lot of interest due to its superior sealing ability and biocompatibility. Although MTA possesses superior sealing ab...