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A case of symptomatic coronary artery fistula.

作者信息

Spektor Gary, Gehi Anil K, Love Barry, Sharma Samin K, Fuster Valentin

机构信息

Mount Sinai Medical Center, 1 Gustave L Levy Place, Box 1030, New York City, NY 10029, USA.

出版信息

Nat Clin Pract Cardiovasc Med. 2006 Dec;3(12):689-92. doi: 10.1038/ncpcardio0709.

Abstract

BACKGROUND

A 57-year-old man presented with dyspnea and presyncope on exertion. He had previously been diagnosed with hypertension, hypercholesterolemia and atrial fibrillation. A soft (grade II/VI), dynamic continuous murmur was noted in the mid precordium.

INVESTIGATIONS

Electrocardiography, stress echocardiography and coronary angiography.

DIAGNOSIS

Right coronary artery to coronary sinus fistula with coronary steal, exertional ischemia and ventricular arrhythmia.

MANAGEMENT

Coil embolization of coronary left ventricular fistula.

摘要

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