Heart failure due to giant congenital aorto-right atrial fistula: report of a case.
Int J Clin Pract Suppl
; (147): 9-11, 2005 Apr.
Article
in En
| MEDLINE
| ID: mdl-15875609
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.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta
/
Arteriovenous Fistula
/
Coronary Vessel Anomalies
/
Heart Failure
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Int J Clin Pract Suppl
Journal subject:
MEDICINA
Year:
2005
Document type:
Article
Affiliation country:
Taiwan