A case of congenital coronary-pulmonary fistulas presenting as spontaneous mediastinal haemorrhage.
BMJ Case Rep
; 20172017 Jul 19.
Article
in En
| MEDLINE
| ID: mdl-28724599
ABSTRACT
Coronary artery fistulas are rare anomalous vascular connections between coronary arteries and a cardiac chamber or a central vessel, without an intervening capillary bed. Coronary-pulmonary fistulas are a distinct subset of coronary artery fistulas. We present the case of a previously healthy 63-year-old-man who presented with chest pain and was found to have mediastinal haemorrhage. Upon further investigations, he was found to have multiple coronary-pulmonary fistulas with pseudoaneurysm formation in three of the fistulas. Two of these pseudoaneurysms showed inflammatory changes indicative of recent bleed. These were determined to be the source of the mediastinal bleeding and patientâ™s initial presentation. The patient was managed medically after obtaining multiple expert opinions from various institutions.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Pulmonary Artery
/
Coronary Artery Disease
/
Arterio-Arterial Fistula
/
Coronary Vessel Anomalies
/
Coronary Vessels
/
Hemorrhage
/
Mediastinum
Type of study:
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMJ Case Rep
Year:
2017
Type:
Article
Affiliation country:
United States