Journals / Türk Kardiyoloji Derneği Arşivi / 2013 / Cilt: 41 - Sayı: 2

Percutaneous closure of the coronary artery-pulmonary artery fistula in a patient with apical hypertrophic cardiomyopathy

Apikal hipertrofik kardiyomiyopatili bir hastada koroner arter ile pulmoner arter arasındaki fistülün perkütan yolla kapatılması

Pages
144–147
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

In conclusion, coronary steal syndrome may lead to myocardial ischemia in patients with a coronary AVF.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Summary A fifty-four-year-old female patient was admitted to our unit with exertional chest pain of six months duration.
📊
Key Findings & Data:Transthoracic echocardiography showed apical hypertrophy.
💡
Conclusion & Impact:In conclusion, coronary steal syndrome may lead to myocardial ischemia in patients with a coronary AVF.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Summary A fifty-four-year-old female patient was admitted to our unit with exertional chest pain of six months duration. Transthoracic echocardiography showed apical hypertrophy. Upon further investigation, cardiac magnetic resonance im- aging revealed apical hypertrophic cardiomyopathy. The patient underwent myocardial perfusion scintigraphy which showed anterior ischemia. Coronary angiography revealed an arteriovenous fistula (AVF) from the left anterior descend- ing artery to the pulmonary artery. The patient s chest pain was attributed to a coronary steal syndrome secondary to the coronary AVF. The AVF fistula was closed with a coil and the patient s chest pain improved. In conclusion, coronary steal syndrome may lead to myocardial ischemia in patients with a coronary AVF.

Özet

Bu yazıda, perkütan kapatma icin yeterli rimleri (kenarları) olan geniş sekundum tipi atriyal septal defekti(ASD)(26 mm) bulunan hastada, işlem sırasında süperiyor vena kava akımının Atriasept ASD tıkayıcının sağ atriyal diski ile tıkandığı ve bunun üzerine cihazin geri çekildiği olgu sunuldu. Bu cihazın geri çekilmesinden sonra aynı seansta Amplatzer ASD tıkayıcı cihazı vena kava akımını bozmadan yerleştirilmiştir.

🔖

Cite This Article

MUTLU, B., SÜNBÜL, M., KIVRAK, T., TOPAL, N. P. (2022). Percutaneous closure of the coronary artery-pulmonary artery fistula in a patient with apical hypertrophic cardiomyopathy. Türk Kardiyoloji Derneği Arşivi, Cilt: 41 - Sayı: 2, 144–147. https://ajindex.com/articles/632975

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (7)

  1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40
  2. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol 2006;107:7-10
  3. Balanescu S, Sangiorgi G, Castelvecchio S, Medda M, Inglese L. Coronary artery fistulas: clinical consequences and methods of closure. A literature review. Ital Heart J 2001;2:669-76
  4. Huang YK, Lei MH, Lu MS, Tseng CN, Chang JP, Chu JJ. Bilateral coronary-to-pulmonary artery fistulas. Ann Thorac Surg 2006;82:1886-8
  5. Kepez A, Kaya EB, Aytemir K, Oto A. Bilateral coronary artery- pulmonary artery fistulas in a case with unstable angina pectoris. Turk Kardiyol Dern Ars 2008;36:108-10
  6. Kirklin JW, Barratt-Boyes BG. Congenital anomalies of the coronary arteries. In: Kirklin JW, Barratt-Boyes BG, editors. Cardiac surgery. Vol 2. New York: Churchill Livingstone, 1993. p. 1167-93
  7. Armsby LR, Keane JF, Sherwood MC, Forbess JM, Perry SB, Lock JE. Management of coronary artery fistulae. Patient selection and results of transcatheter closure. J Am Coll Cardiol 2002;39:1026-32.