Author/Authors :
Khan Minhas, Abdul Mannan Orange Park Medical Center - Orange Park, FL, USA , Ul Haq, Ehtesham University of South Alabama, Mobile, AL, USA , Arslan Yousuf Awan, Ahmed Hattiesburg Clinic, Hattiesburg, MS, USA , Ameer Khan, Arshad John Hunter Hospital, Newcastle, NSW, Australia , Qureshi, Ghazanfar Cardiology Division - University of South Alabama, Mobile, AL, USA , Balakrishna, Pragathi Orange Park Medical Center - Orange Park, FL, USA
Abstract :
Coronary-cameral fistulas are rare congenital malformations, often incidentally found during cardiac catheterizations.The majority
of these fistulas are congenital in nature but can be acquired secondary to trauma or invasive cardiac procedures. These fistulas
most commonly originate in the right coronary artery and terminate into the right ventricle and least frequently drain into the
left ventricle. Depending upon their size and location, coronary-cameral fistulas can lead to congestive heart failure, myocardial
infarction, and bacterial endocarditis. We describe a case of 49-year-old woman who presented with worsening exertional dyspnea
and leg swelling. Transthoracic echocardiogram revealed an ejection fraction of 35%. Cardiac catheterization demonstrated a fistula
connecting the left anterior descending artery and the first obtuse marginal artery to the left ventricle. In this report, the authors
provide a concise review on coronary fistulas, complications, and management options.
Keywords :
Coronary-Cameral Fistula , Anterior Descending Artery , Artery , Ventricle
