دورية أكاديمية
A Rare Case of Left Main Coronary Artery Coronary Sinus Fistula in an 85-Year-Old Female.
العنوان: | A Rare Case of Left Main Coronary Artery Coronary Sinus Fistula in an 85-Year-Old Female. |
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المؤلفون: | Bashir H; Cardiovascular Medicine, The Christ Hospital, Cincinnati, USA., Ahmed AA; Internal Medicine, Rochester Unity Hospital, Rochester, USA., Akhtar M; Internal Medicine, The Christ Hospital, Cincinnati, USA., Beering AR; Internal Medicine, The Christ Hospital, Cincinnati, USA., Ratajczak TM; Cardiovascular Medicine, The Christ Hospital, Cincinnati, USA. |
المصدر: | Cureus [Cureus] 2024 May 29; Vol. 16 (5), pp. e61320. Date of Electronic Publication: 2024 May 29 (Print Publication: 2024). |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Palo Alto, CA : Cureus, Inc. |
مستخلص: | Coronary arteriovenous fistulas (CAVFs) are congenital or acquired communications between the coronary arteries and coronary venous system, and they can also include other cardiac structures or vasculature. We discuss a case of a large fistula between the left main coronary artery and the right atrium in a geriatric patient with a history of gastrointestinal arteriovenous malformations (AVM). The occurrence of CAVFs, an uncommon cardiac irregularity, is particularly infrequent among older adults. Typically, it is discovered by chance when investigating symptoms such as shortness of breath or chest pain, where coronary angiography is necessary to determine the most effective treatment strategy. This case highlights the possible utility of evaluating CAVFs in patients with a history of gastrointestinal AVM who similarly present with clinical symptoms of high-output heart failure. Once identified, this could simplify the treatment approach and improve communication between healthcare providers to minimize the risk of harm to the patient. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Bashir et al.) |
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فهرسة مساهمة: | Keywords: angina; angiogram; arteriovenous malformations; atrial fibrillation; congenital heart disease; coronary artery disease; coronary sinus fistula; ct angiography; dyspnea; left main coronary artery |
تواريخ الأحداث: | Date Created: 20240701 Latest Revision: 20240702 |
رمز التحديث: | 20240702 |
مُعرف محوري في PubMed: | PMC11213488 |
DOI: | 10.7759/cureus.61320 |
PMID: | 38947675 |
قاعدة البيانات: | MEDLINE |
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