Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding

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 c...

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Main Authors: Abdul Mannan Khan Minhas, Ehtesham Ul Haq, Ahmed Arslan Yousuf Awan, Arshad Ameer Khan, Ghazanfar Qureshi, Pragathi Balakrishna
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/8071281
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author Abdul Mannan Khan Minhas
Ehtesham Ul Haq
Ahmed Arslan Yousuf Awan
Arshad Ameer Khan
Ghazanfar Qureshi
Pragathi Balakrishna
author_facet Abdul Mannan Khan Minhas
Ehtesham Ul Haq
Ahmed Arslan Yousuf Awan
Arshad Ameer Khan
Ghazanfar Qureshi
Pragathi Balakrishna
author_sort Abdul Mannan Khan Minhas
collection DOAJ
description 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.
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institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-59f047c43cc04ad59b360af848c8b96d2025-02-03T06:42:10ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/80712818071281Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare FindingAbdul Mannan Khan Minhas0Ehtesham Ul Haq1Ahmed Arslan Yousuf Awan2Arshad Ameer Khan3Ghazanfar Qureshi4Pragathi Balakrishna5Orange Park Medical Center, Orange Park, FL, USAUniversity of South Alabama, Mobile, AL, USAHattiesburg Clinic, Hattiesburg, MS, USAJohn Hunter Hospital, Newcastle, NSW, AustraliaCardiology Division, University of South Alabama, Mobile, AL, USAOrange Park Medical Center, Orange Park, FL, USACoronary-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.http://dx.doi.org/10.1155/2017/8071281
spellingShingle Abdul Mannan Khan Minhas
Ehtesham Ul Haq
Ahmed Arslan Yousuf Awan
Arshad Ameer Khan
Ghazanfar Qureshi
Pragathi Balakrishna
Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
Case Reports in Cardiology
title Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_full Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_fullStr Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_full_unstemmed Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_short Coronary-Cameral Fistula Connecting the Left Anterior Descending Artery and the First Obtuse Marginal Artery to the Left Ventricle: A Rare Finding
title_sort coronary cameral fistula connecting the left anterior descending artery and the first obtuse marginal artery to the left ventricle a rare finding
url http://dx.doi.org/10.1155/2017/8071281
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