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Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2015 / Cilt: 12 - Sayı: 3

İntermediate Koroner Arterden Sol Ventriküle Multipl Mikro Fistüller: Nadir Bir Anomali

Multiple Micro Fistulas from Intermediate Coronary Artery to Left Ventricle: A Rare Anomaly

Recep DEMİRBAĞ
Erhan KAYA
Ibrahim Halil ALTİPARMAK
Muslihittin Emre ERKUŞ
Emre AYAS
Özgür GÜNEBAKMAZ
Pages
380–382
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A 75yearoldfemalepatientwithchestpainwasadmittedtoourclinic.Theangiographyshowedmultiplecoronarymicrofistulasfromleftintermediatearterydrainedintoleftventricleandcriticalcoronarystenoses.Contrastagentinjectedthroughleftmaincoronaryarterycausedaninterestingimagemimickingoptimalventriculographywithnormalejectionfraction.Thepatienthasbeenfollowedupwithhealthaftercoronaryarterybypassgraftingoperationwithsubsequentendocarditisprophylaxisandguidelinedirectedmedicaltherapy .Coronaryfistulastoleftventriclearerarelyencounteredthantheothers,andtheyshouldbeconsideredintermsoftreatmentifthefistulascausefunctionaldisorderoftheheart.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 75yearoldfemalepatientwithchestpainwasadmittedtoourclinic.Theangiographyshowedmultiplecoronarymicrofistulasfromleftintermediatearterydrainedintoleftventricleandcriticalcoronarystenoses.Contrastagentinjectedthroughleftmaincoronaryarterycausedaninterestingimagemimickingoptimalventriculographywithnormalejectionfraction.Thepatienthasbeenfollowedupwithhealthaftercoronaryarterybypassgraftingoperationwithsubsequentendocarditisprophylaxisandguidelinedirectedmedicaltherapy .Coronaryfistulastoleftventriclearerarelyencounteredthantheothers,andtheyshouldbeconsideredintermsoftreatmentifthefistulascausefunctionaldisorderoftheheart.
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Key Findings & Data:A 75yearoldfemalepatientwithchestpainwasadmittedtoourclinic.Theangiographyshowedmultiplecoronarymicrofistulasfromleftintermediatearterydrainedintoleftventricleandcriticalcoronarystenoses.Contrastagentinjectedthroughleftmaincoronaryarterycausedaninterestingimagemimickingoptimalventriculographywithnormalejectionfraction.Thepatienthasbeenfollowedupwithhealthaftercoronaryarterybypassgraftingoperationwithsubsequentendocarditisprophylaxisandguidelinedirectedmedicaltherapy .Coronaryfistulastoleftventriclearerarelyencounteredthantheothers,andtheyshouldbeconsideredintermsoftreatmentifthefistulascausefunctionaldisorderoftheheart.
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Conclusion & Impact:A 75yearoldfemalepatientwithchestpainwasadmittedtoourclinic.Theangiographyshowedmultiplecoronarymicrofistulasfromleftintermediatearterydrainedintoleftventricleandcriticalcoronarystenoses.Contrastagentinjectedthroughleftmaincoronaryarterycausedaninterestingimagemimickingoptimalventriculographywithnormalejectionfraction.Thepatienthasbeenfollowedupwithhealthaftercoronaryarterybypassgraftingoperationwithsubsequentendocarditisprophylaxisandguidelinedirectedmedicaltherapy .Coronaryfistulastoleftventriclearerarelyencounteredthantheothers,andtheyshouldbeconsideredintermsoftreatmentifthefistulascausefunctionaldisorderoftheheart.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 75yearoldfemalepatientwithchestpainwasadmittedtoourclinic.Theangiographyshowedmultiplecoronarymicrofistulasfromleftintermediatearterydrainedintoleftventricleandcriticalcoronarystenoses.Contrastagentinjectedthroughleftmaincoronaryarterycausedaninterestingimagemimickingoptimalventriculographywithnormalejectionfraction.Thepatienthasbeenfollowedupwithhealthaftercoronaryarterybypassgraftingoperationwithsubsequentendocarditisprophylaxisandguidelinedirectedmedicaltherapy .Coronaryfistulastoleftventriclearerarelyencounteredthantheothers,andtheyshouldbeconsideredintermsoftreatmentifthefistulascausefunctionaldisorderoftheheart.

Özet

75 yaşında bayan hasta göğüs ağrısı şikâyetiyle kliniğimize başvuruda bulundu. Yapılan anjiyografide sol intermediyer arterden sol ventriküle çok sayıda mikrofistüllerin açıldığı ve kritik darlıkların olduğu saptandı. Sol sisteme verilen radyokontrast ajan normal ejeksiyon fraksiyonlu optimal ventrikülografiyi taklit eder tarzda enteresan bir görüntü oluşturdu. Hasta koroner arter bypass cerrahisi sonrasında medikal tedavi ve endokardit proflaksisiyle sağlıklı olarak takip edilmektedir. Sol ventriküle drene olan koroner fistüller diğerlerine göre daha az rastlanmakta olup, eğer fonksiyonel kardiyak bozukluğa neden oluyorlarsa tedavi açısından dikkate alınmalıdırlar

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Cite This Article

DEMİRBAĞ, R., KAYA, E., ALTİPARMAK, I. H., ERKUŞ, M. E., AYAS, E., GÜNEBAKMAZ, Ö. (2022). İntermediate Koroner Arterden Sol Ventriküle Multipl Mikro Fistüller: Nadir Bir Anomali. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 12 - Sayı: 3, 380–382. https://ajindex.com/articles/534110

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References (3)

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