A very rare cause of continuous murmur and coronary ischemia: high-flow coronary-to-pulmonary artery fistula

A 52-year-old woman presented with complaints of chest discomfort and angina radiating to the neck and left arm on exertion. She reported that the severity of angina was increasing after sublingual nitrate intake. Coronary angiography showed a high-flow fistula between the left main coronary artery...

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Veröffentlicht in:	Türk Kardiyoloji Derneği arşivi 2008-10, Vol.36 (7), p.476-478
Hauptverfasser:	Kaçmaz, Fehmi, Maden, Orhan, Erbay, Ali Riza, Ilkay, Erdoğan
Format:	Artikel
Sprache:	eng
Schlagworte:	Angina pectoris Cardiovascular diseases Cerrahi prosedürler, operatif Coronary Angiography Coronary Artery Bypass Coronary Vessel Anomalies Coronary Vessel Anomalies - complications Coronary Vessel Anomalies - surgery Coronary vessels Female Fistula Hipertansiyon, pulmoner Humans Hypertension, Pulmonary Hypertension, Pulmonary - etiology Hypertension, Pulmonary - surgery Ischemia Kadın Kardiyovasküler hastalıklar Koroner anjiyografi Koroner arter köprüleme Koroner damar anomalileri Middle Aged Miyokard iskemisi Myocardial Ischemia Myocardial Ischemia - etiology Myocardial Ischemia - surgery Orta yaşlı Pulmonary arteries Stents Surgical procedures, operative Tedavi sonucu Treatment Outcome Vascular Fistula Vascular Fistula - complications Vascular Fistula - surgery Vasküler fistül
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Beschreibung
Zusammenfassung:	A 52-year-old woman presented with complaints of chest discomfort and angina radiating to the neck and left arm on exertion. She reported that the severity of angina was increasing after sublingual nitrate intake. Coronary angiography showed a high-flow fistula between the left main coronary artery and pulmonary artery. Left coronary arteries were normal, but there was a stenotic lesion in the right coronary artery. Coronary artery fistula was ligated successfully under bypass surgery. It was thought that the severity of myocardial ischemia caused by the high-flow fistula was aggravated by sublingual nitrate due to coronary steal phenomenon.
ISSN:	1016-5169 1308-4488