Large coronary artery fistula

Po-Rong Tzeng, Kuo-Chen Lee, Jeng Wei, Yi-Cheng Chuang, Chung-Yi Chang
2015 Formosan Journal of Surgery  
We present a case of congestive heart failure with pulmonary artery hypertension caused by a left-to-right shunt. Physical examination on admission revealed hypertension, arrhythmia, a diastolic murmur over the bilateral sternal borders, and a pitting edema over both lower legs. Imaging studies revealed a large coronary artery fistula (CAF). After ligation of the fistula, the patient recovered adequately and was discharged. Although cases of CAF have been reported and clinical presentations
more » ... l presentations such as congestive heart failure are not rare, CAFs require particular attention, because they typically exhibit a varied clinical course. We present this case to share our experience regarding myocardial protection and help practitioners prevent misdiagnosis or delayed treatment for such cases.
doi:10.1016/j.fjs.2015.04.002 fatcat:33wqq3j7t5e4hnkj37sl366q3a