Girish Nataraju Komalamma, Pandey Niraj Nirmal, Yadav Satyavir, Ramakrishnan Sivasubramanian
Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, 110029 India.
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Indian J Thorac Cardiovasc Surg. 2025 May;41(5):626-628. doi: 10.1007/s12055-025-01913-y. Epub 2025 Feb 26.
We report a case of a 19-year-old female patient presenting with recurrent episodes of dyspnoea on exertion and presyncope. Cardiac computed tomography (CT) angiography demonstrated an aneurysmal left circumflex artery-to-coronary sinus fistula which was successfully managed using transcatheter closure of the fistulous communication. The present case highlights a rare variety of coronary artery fistula while underscoring the role of cardiac CT angiography in diagnosis and planning of management in such conditions.
我们报告一例19岁女性患者，表现为劳力性呼吸困难和前驱晕厥反复发作。心脏计算机断层扫描（CT）血管造影显示左回旋支动脉至冠状窦的动脉瘤样瘘管，通过经导管封闭瘘管成功治疗。本病例突出了一种罕见的冠状动脉瘘类型，同时强调了心脏CT血管造影在此类疾病诊断和治疗规划中的作用。
