Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico

Coronary artery fistulae are abnormal connections between a coronary artery and any cardiac chamber or other vessels. Most of them have a congenital origin. We report a 60 years old woman referring a history of progressive dyspnea and orthopnea during the last year. A continuous heart murmur was aud...

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Autores principales: Ugalde,Héctor, Ugalde,Diego, Dussaillant,Gastón
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000700017
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spelling oai:scielo:S0034-988720160007000172016-10-03Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínicoUgalde,HéctorUgalde,DiegoDussaillant,Gastón Arteriovenous Fistula Coronary Vessels Coronary Vessel Anomalies Coronary artery fistulae are abnormal connections between a coronary artery and any cardiac chamber or other vessels. Most of them have a congenital origin. We report a 60 years old woman referring a history of progressive dyspnea and orthopnea during the last year. A continuous heart murmur was audible in the third and fourth intercostal spaces at the left sternal border. Electrocardiogram was normal and echocardiography showed mild dilation of right cavities and an image suggesting a dilated right coronary artery with flow to right atrium. Coronary angiography was performed, showing a normal left coronary artery and a very large, tortuous right coronary artery with an extensive communication to coronary venous sinus. Surgical treatment was decided and was performed without incidents. The patient is well after five years of follow up.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.7 20162016-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000700017es10.4067/S0034-98872016000700017
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Arteriovenous Fistula
Coronary Vessels
Coronary Vessel Anomalies
spellingShingle Arteriovenous Fistula
Coronary Vessels
Coronary Vessel Anomalies
Ugalde,Héctor
Ugalde,Diego
Dussaillant,Gastón
Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
description Coronary artery fistulae are abnormal connections between a coronary artery and any cardiac chamber or other vessels. Most of them have a congenital origin. We report a 60 years old woman referring a history of progressive dyspnea and orthopnea during the last year. A continuous heart murmur was audible in the third and fourth intercostal spaces at the left sternal border. Electrocardiogram was normal and echocardiography showed mild dilation of right cavities and an image suggesting a dilated right coronary artery with flow to right atrium. Coronary angiography was performed, showing a normal left coronary artery and a very large, tortuous right coronary artery with an extensive communication to coronary venous sinus. Surgical treatment was decided and was performed without incidents. The patient is well after five years of follow up.
author Ugalde,Héctor
Ugalde,Diego
Dussaillant,Gastón
author_facet Ugalde,Héctor
Ugalde,Diego
Dussaillant,Gastón
author_sort Ugalde,Héctor
title Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
title_short Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
title_full Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
title_fullStr Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
title_full_unstemmed Fístula coronaria gigante. Presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: Caso clínico
title_sort fístula coronaria gigante. presentación clínica, caracterización angiográfica, tratamiento y seguimiento a largo plazo: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000700017
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AT ugaldediego fistulacoronariagigantepresentacionclinicacaracterizacionangiograficatratamientoyseguimientoalargoplazocasoclinico
AT dussaillantgaston fistulacoronariagigantepresentacionclinicacaracterizacionangiograficatratamientoyseguimientoalargoplazocasoclinico
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