Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2837656 | Cardiovascular Revascularization Medicine | 2009 | 4 Pages |
Abstract
Coronary artery fistulas are rare coronary artery anomalies. Their clinical significance varies from a long asymptomatic course to overt heart failure and death. They are often detected incidentally with diagnostic coronary angiograms. Cardiologists increasingly encounter coronary artery fistulas secondary to recent improvements in cardiovascular imaging modalities. Management is still controversial, especially in asymptomatic cases with less significant shunts. Here, we describe a 62-year-old woman with a left circumflex artery to hepatic vein fistula found on coronary angiography. The patient is being managed conservatively using nuclear imaging studies and echocardiographic evaluation.
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Authors
Cihan Cevik, Kenneth Nugent, Veli Kemal Topkara, Mohammad Otahbachi, Leigh Ann Jenkins,