Coronary artery fistula diagnosed by transthoracic Doppler echocardiography

A 47-year-old Malay woman complained of an episode of shortness of breath after a shower. There was no previous complaint of shortness of breath or chest pain. Physical examination revealed a wide pulse pressure. Blood pressure was 160/66 mmHg, and heart rate was 77/minute and regular. What was init...

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Veröffentlicht in:	Singapore medical journal 2007-10, Vol.48 (10), p.e262-e264
Hauptverfasser:	Chee, T S, Tan, P J, Koh, S K, Jayaram, L
Format:	Artikel
Sprache:	eng
Schlagworte:	Coronary Artery Disease - diagnosis Coronary Vessel Anomalies - diagnosis Coronary Vessels - metabolism Echocardiography Echocardiography, Doppler Female Fistula - congenital Fistula - diagnosis Heart Ventricles - abnormalities Humans Middle Aged
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Zusammenfassung:	A 47-year-old Malay woman complained of an episode of shortness of breath after a shower. There was no previous complaint of shortness of breath or chest pain. Physical examination revealed a wide pulse pressure. Blood pressure was 160/66 mmHg, and heart rate was 77/minute and regular. What was initially thought to be a loud pansystolic murmur was heard over the precordium. Electrocardiography showed left ventricular hypertrophy with a volume overload pattern. Transthoracic Doppler echocardiography revealed a right coronary artery-right ventricular fistula, arising from the right coronary artery and draining into the right ventricular cavity.
ISSN:	0037-5675