Congenital Giant Right Coronary Artery Aneurysm With Fistula to the Coronary Sinus and Persistent Left Superior Vena Cava in an Old Woman.
10.4070/kcj.2012.42.11.792
- Author:
Soo Yong LEE
1
;
Yong Hyun PARK
;
Hye Ju YEO
;
Chang Bae SOHN
;
Dong Cheul HAN
;
Jeong Su KIM
;
Jun KIM
;
June Hong KIM
;
Kook Jin CHUN
Author Information
1. Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. nadroj@chol.com
- Publication Type:Case Report
- Keywords:
Coronary aneurysm;
Arteriovenous fistula;
Coronary sinus
- MeSH:
Aneurysm;
Arteriovenous Fistula;
Cardiac Catheterization;
Cardiac Catheters;
Coronary Aneurysm;
Coronary Angiography;
Coronary Sinus;
Coronary Vessels;
Dilatation;
Dyspnea;
Echocardiography;
Edema;
Female;
Fistula;
Humans;
Middle Aged;
Parkinsonian Disorders;
Vena Cava, Superior
- From:Korean Circulation Journal
2012;42(11):792-795
- CountryRepublic of Korea
- Language:English
-
Abstract:
The combination of coronary arteriovenous fistula to the coronary sinus (CS), dilatation of the entire length of coronary artery, coronary aneurysm and persistent left superior vena cava (PLSVC) is very rare. We present the case of a 63-year-old female admitted for dyspnea on exertion, orthopnea, and facial edema. Echocardiography detected a giant coronary artery with shunt flow, dilated CS and PLSVC and a coronary angiography reaffirmed these findings. The calculated ratio of pulmonary blood flow to systemic blood flow by cardiac catheterization was 1.53. After multidisciplinary review considering old age, hypoactivity due to underlying Parkinsonism and relatively small amount of shunt flow, medical therapy was chosen. The patient remained asymptomatic for 10 months after discharge without intervention.
