Article ; Online: Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach.
2020 Volume 35, Issue 5, Page(s) 1098–1099
Abstract: The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula ... ...
Abstract | The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula with a rounded origin started from the roof of the left main stem, just attached to the wall of the aortic root, and finished with a very narrowed end in the pulmonary trunk. Due to its anatomical position and to the potential complications related to a proximal surgical closure as well as the incidental discovery in adult age (without signs or symptoms until the operation), we decided to have a conservative approach, leaving untouched the fistula. No intraoperative, perioperative, and follow-up signs of myocardial ischemia were observed. |
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MeSH term(s) | Arteriovenous Fistula/therapy ; Computed Tomography Angiography ; Conservative Treatment ; Coronary Vessel Anomalies ; Humans ; Male ; Middle Aged ; Pulmonary Artery/abnormalities ; Rare Diseases ; Tomography, X-Ray Computed |
Language | English |
Publishing date | 2020-03-16 |
Publishing country | United States |
Document type | Case Reports ; Journal Article |
ZDB-ID | 639059-6 |
ISSN | 1540-8191 ; 0886-0440 |
ISSN (online) | 1540-8191 |
ISSN | 0886-0440 |
DOI | 10.1111/jocs.14483 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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