A Life-threatening Association of Coronary Anomalies

Devasia, Tom and Maturu, Sumedha Mohan V and Kareem, Hashir and Rao, Sudhakar M (2016) A Life-threatening Association of Coronary Anomalies. Journal of Clinical and Scientific Research, 5 (4). pp. 238-241.

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Abstract

Anomalous origin of the left coronary artery from the right sinus of Valsalva, even though rare, has been documented well in literature. However the association of this anomaly with coronary fistulae has been rarely reported so far.We report the case of a 76-year-old female who presented to us with exertional dyspnoea. General physical and cardiovascular examination revealed no significant abnormalities. All laboratory investigations were normal. Chest radiograph was normal. Electrocardiogram showed left bundle branch block. Echocardiogram revealed a globally hypokinetic left ventricle with reduced ejection fraction. Coronary angiogram showed anomalous origin of left coronary artery from right coronary sinus along with a small coronary-cameral fistula connecting obtuse marginal artery to left ventricle, there was no significant stenosis of epicardial coronaries. This case report, documents the rare association of an anomalous coronary origin of left coronary artery with coronary fistula

Item Type: Article
Uncontrolled Keywords: Coronary vessel anomalies; Fistula
Subjects: Medicine > KMC Manipal > Cardiology
Medicine > KMC Manipal > Medicine
Depositing User: KMC Library
Date Deposited: 15 Mar 2017 09:47
Last Modified: 15 Mar 2017 09:47
URI: http://eprints.manipal.edu/id/eprint/148469

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