Heart failure due to giant congenital aorto‐right atrial fistula: report of a case
Summary Coronary arterio‐venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto‐right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accur...
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| Published in | International journal of clinical practice (Esher) Vol. 59; no. 147; pp. 9 - 11 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK; Malden, USA
Blackwell Publishing Ltd/Inc
01.04.2005
Hindawi Limited |
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| Abstract | Summary
Coronary arterio‐venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto‐right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accurate diagnosis. Further haemodynamic and angiographic study proved this large CAVF with extraordinary oxygen saturation step‐up (26%) and large pulmonary to systemic shunt (Qp/Qs = 4.25). It was corrected by surgery because of evidence of heart failure and the possible risk of endocarditis and coronary steal effect. |
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| AbstractList | Coronary arterio-venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto-right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accurate diagnosis. Further haemodynamic and angiographic study proved this large CAVF with extraordinary oxygen saturation step-up (26%) and large pulmonary to systemic shunt (Qp/Qs = 4.25). It was corrected by surgery because of evidence of heart failure and the possible risk of endocarditis and coronary steal effect. [PUBLICATION ABSTRACT] Coronary arterio-venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto-right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accurate diagnosis. Further haemodynamic and angiographic study proved this large CAVF with extraordinary oxygen saturation step-up (26%) and large pulmonary to systemic shunt (Qp/Qs = 4.25). It was corrected by surgery because of evidence of heart failure and the possible risk of endocarditis and coronary steal effect. Summary Coronary arterio‐venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto‐right atrial fistula with initial presentation of heart failure symptoms. Transthoracic echocardiography and transesophageal echocardiography made the accurate diagnosis. Further haemodynamic and angiographic study proved this large CAVF with extraordinary oxygen saturation step‐up (26%) and large pulmonary to systemic shunt (Qp/Qs = 4.25). It was corrected by surgery because of evidence of heart failure and the possible risk of endocarditis and coronary steal effect. |
| Author | Wang, C‐L Ho, W‐J Hsu, J‐T Cheng, N‐J |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15875609$$D View this record in MEDLINE/PubMed |
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Coronary arterio‐venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto‐right atrial... Coronary arterio-venous fistula (CAVF) is a rare coronary artery anomaly. We demonstrated the rare findings of a large congenital aorto-right atrial fistula... |
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| SubjectTerms | Aorta - abnormalities Aorta - diagnostic imaging Arteriovenous Fistula - complications Arteriovenous Fistula - congenital Arteriovenous Fistula - diagnostic imaging Case studies Coronary atrio‐venous fistula (CAVF) Coronary Vessel Anomalies - complications Coronary Vessel Anomalies - diagnostic imaging Coronary vessels Echocardiography, Transesophageal Heart Atria - abnormalities Heart Atria - diagnostic imaging Heart failure Heart Failure - etiology Humans Male Middle Aged right atrium (RA) Surgery transesophageal echocardiography (TEE) transthoracic echocardiography (TTE) |
| Title | Heart failure due to giant congenital aorto‐right atrial fistula: report of a case |
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