Coronary cameral fistula pdf

Appendix Supplemental Video 1: Pre-intervention echocardiogram showed reduced left ventricular systolic function. Click here to view. Supplemental Video 2: A video from cardiac catheterization showed the flow of contrast media through the coronary cameral fistula.

Supplemental Video 3A: CT video showed the relation between the coronary cameral fistula and cardiac structures. Supplemental Video 3B: CT video showed the fistula entering the upper part of the right atrium. Supplemental Video 4: Cardiac MRI SSFP video in axial plane throughout the cardiac cycle showed the course of the fistula and its anatomical relationship to cardiac structures.

Supplemental Video 5: Post-intervention echocardiogram showed improved left ventricular systolic function. References 1. Mangukia C. Coronary artery fistula. Ann Thorac Surg. Muir C. Coronary arterio-cameral fistula. Br Heart J. Sommer R. Pathophysiology of congenital heart disease in the adult.

Yuksel S. Prevalence and characteristics of coronary-cameral communications in adult patients: coronary angiographic analysis of 16, patients. Med Princ Pract. Vavuranakis M. Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history. Cathet Cardiovasc Diagn. Qureshi S.

Coronary arterial fistulas. Orphanet J Rare Dis. Challoumas D. Coronary arteriovenous fistulae: a review.

Int J Angiol. Said S. Current characteristics of congenital coronary artery fistulas in adults: a decade of global experience. World J Cardiol. Chugh Y. The dilemma of evaluating a continuous murmur in a patient of aneurysm of sinus of Valsalva and coronary cameral fistula presenting with supraventricular tachycardia.

BMJ Case Rep. Schmitt R. Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol. Support Center Support Center. External link. Please review our privacy policy. The origin of the fistula from the LAD was not clearly seen from multiple views and it appeared to drain into the coronary sinus.

A contrast enhanced multislice spiral computer tomography MSCT with retrospective ECG gated reconstruction was performed to delineate the site of origin and termination of the fistula.

Multiplanar reconstruction images showed the fistula originated from a diagonal branch of LAD and it formed multiple loops before terminating in the left ventricular cavity panels B, C. The patient underwent exercise thallium which was negative for myocardial ischaemia. In view of the stable angina, absence of heart murmur, and no objective evidence of coronary artery steal, the patient was managed conservatively.

Coronary—cameral fistulas are often caused by aberrancies of normal embryological development. The resultant physiologic derangement depends upon the site of origin and termination of the fistula and the size of the connection. The current case demonstrates that the size and anatomical features of a coronary—cameral fistula can be reliably established by MSCT, as opposed to conventional methods such as coronary angiography or with retrograde thoracic and aortic root aortography.

Selective angiography of the left main coronary artery from right anterior oblique view. Three dimensional reconstruction image of multislice spiral computed tomography MSCT showing the origin of the coronary fistula from the dilated diagonal branch and the small left anterior descending coronary artery distal to the site of origin.

Sagittal view of MSCT showing coronary fistula terminating in the left ventricular cavity. In the 22, post-mortems performed at the General Hospital, Singapore, over the past decade, there were some cases of congenital heart disease. In this material there were three examples of this unusual anomaly, all occurring in infants of Chinese race.

As about 30 cases of this anomaly have now been described, a more succinct descriptive phrase than "communication between coronary artery and cardiac… Expand. View on BMJ. Save to Library Save. Create Alert Alert.

Share This Paper. Topics from this paper. Cardiac chamber structure Congenital heart disease Aneurysm Classification. Description photograph Arterio-Arterial Fistula. Citation Type. Has PDF. Publication Type. More Filters. The American journal of cardiology. Coronary artery fistula. Australian and New Zealand journal of medicine. Congenital coronary arteriovenous fistula.