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Journals / Koşuyolu Heart Journal / 2010 / Cilt: 13 - Sayı: 3

Coronary Artery Aneurysm and Coronary Fistula in Tetrology of Fallot: A Case Presentation of A Young Adult Undergoing Total Correction

Fallot Tetrolojisinde Koroner Arter Anevrizmas› ve Koroner Fistul: Tam Düzeltme Yap›lan Genç Eriflkin Bir Vaka Sunumu

Ali Fedakar
Ahmet Şaşmazel
Onursal Bugra
Kamil Boyac›o¤lu
Ayfle Baysal
Ayfle İnci
Mehmet Balkanay
Pages
23–25
Publication Date
2009-03-01
DOI
—
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AI Summary & Key Takeaways

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

Aneurysmatic coronary artery fistula is not found to cause a deleterious effect on the hemodynamics or myocardial performance of the heart after the total correction surgery

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Congenital presentation of a coronary artery fistula is a rarely observed pathologic finding; especially an association with tetralogy of Fallot is reported in only three cases previously.
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Key Findings & Data:Preoperative computerized tomography angiographic examination showed a communication between the circumflex artery and left ventricle. 27-year-old female patient underwent an operation for total correction.
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Conclusion & Impact:Aneurysmatic coronary artery fistula is not found to cause a deleterious effect on the hemodynamics or myocardial performance of the heart after the total correction surgery
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Fallot tetralojisi · koroner arter · anevrizma

Abstract

Congenital presentation of a coronary artery fistula is a rarely observed pathologic finding; especially an association with tetralogy of Fallot is reported in only three cases previously. This is a presentation of a patient with tetralogy of Fallot who had an aneurysmatic fistula communication between the circumflex artery and left ventricle. Preoperative computerized tomography angiographic examination showed a communication between the circumflex artery and left ventricle. 27-year-old female patient underwent an operation for total correction. Intraoperatively, the fistula could not be seen and it had been left unligated. The patient had been discharged from hospital without problems on the tenth postoperative day. Aneurysmatic coronary artery fistula is not found to cause a deleterious effect on the hemodynamics or myocardial performance of the heart after the total correction surgery

Özet

Konjenital koroner arter fistülü oldukça nadir gözlenen bir patolojik bulgudur. Özellikle Fallot tetralojisi ile birlikteli¤ i ise daha önce sadece üç vaka olarak rapor edilmifltir. Bu yaz›m›zda sircumflex arter ile sol ventrikül aras›nda fistül bulunan fallot tetrolojili bir hastan›n sunumu yap›lmaktad›r. Ameliyat öncesi bilgisayarl› tomografik anjiografide sol ventrikül ile sircumflex arter aras›nda anevrizmatik fistül iliflkisi gözlemlendi. 27 yafl›ndaki bayan hasta tam düzeltme ameliyat›na al›nd›. Operasyonda fistül bulunamad› ve ba¤lanmadan b›rak›ld›. Problemi olmayan hasta, ameliyat sonras› onuncu günde taburcu edildi. Anevrizmatik koroner arter fistülün tam düzeltme ameliyat› sonras› nda miyokardiyal performansda ve hemodinamide bozulma yaratan bir etkisi gözlemlenmedi.

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Cite This Article

Fedakar, A., Şaşmazel, A., Bugra, O., Boyac›o¤lu, K., Baysal, A., İnci, A., Balkanay, M. (2009). Coronary Artery Aneurysm and Coronary Fistula in Tetrology of Fallot: A Case Presentation of A Young Adult Undergoing Total Correction. Koşuyolu Heart Journal, Cilt: 13 - Sayı: 3, 23–25. https://ajindex.com/articles/64123

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