Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief

We describe the first reported case, to our knowledge, of Nicoladoni-Branham sign in a patient with a large right coronary artery to superior vena cava fistula presenting with high-output heart failure. Percutaneous closure of the fistula resulted in immediate symptomatic relief and resolution of si...

Full description

Saved in:
Bibliographic Details
Main Authors: Mouna Kodali, A. Jamil Tajik, Suhail Q. Allaqaband, Nancy Barrett, Khawaja Afzal Ammar
Format: Article
Language:English
Published: American College of Physicians 2024-10-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0184
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850198137589727232
author Mouna Kodali
A. Jamil Tajik
Suhail Q. Allaqaband
Nancy Barrett
Khawaja Afzal Ammar
author_facet Mouna Kodali
A. Jamil Tajik
Suhail Q. Allaqaband
Nancy Barrett
Khawaja Afzal Ammar
author_sort Mouna Kodali
collection DOAJ
description We describe the first reported case, to our knowledge, of Nicoladoni-Branham sign in a patient with a large right coronary artery to superior vena cava fistula presenting with high-output heart failure. Percutaneous closure of the fistula resulted in immediate symptomatic relief and resolution of sinus tachycardia. It is important to recognize this physiologic mechanism not only to resolve high-output heart failure but also to relieve patients from years of unrelenting dyspnea, palpitations, and discomfort.
format Article
id doaj-art-3d9f1fb456474cfba3e3225f8da1c5ce
institution OA Journals
issn 2767-7664
language English
publishDate 2024-10-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-3d9f1fb456474cfba3e3225f8da1c5ce2025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-10-0131010.7326/aimcc.2024.0184Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate ReliefMouna Kodali0A. Jamil Tajik1Suhail Q. Allaqaband2Nancy Barrett3Khawaja Afzal Ammar41Aurora Cardiovascular and Thoracic Surgery, Aurora St. Luke's Medical Center, Milwaukee Wisconsin1Aurora Cardiovascular and Thoracic Surgery, Aurora St. Luke's Medical Center, Milwaukee Wisconsin1Aurora Cardiovascular and Thoracic Surgery, Aurora St. Luke's Medical Center, Milwaukee Wisconsin1Aurora Cardiovascular and Thoracic Surgery, Aurora St. Luke's Medical Center, Milwaukee Wisconsin1Aurora Cardiovascular and Thoracic Surgery, Aurora St. Luke's Medical Center, Milwaukee WisconsinWe describe the first reported case, to our knowledge, of Nicoladoni-Branham sign in a patient with a large right coronary artery to superior vena cava fistula presenting with high-output heart failure. Percutaneous closure of the fistula resulted in immediate symptomatic relief and resolution of sinus tachycardia. It is important to recognize this physiologic mechanism not only to resolve high-output heart failure but also to relieve patients from years of unrelenting dyspnea, palpitations, and discomfort.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0184
spellingShingle Mouna Kodali
A. Jamil Tajik
Suhail Q. Allaqaband
Nancy Barrett
Khawaja Afzal Ammar
Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
Annals of Internal Medicine: Clinical Cases
title Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
title_full Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
title_fullStr Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
title_full_unstemmed Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
title_short Nicoladoni-Branham Sign in the Coronaries: Fistula Closure Leads to Immediate Relief
title_sort nicoladoni branham sign in the coronaries fistula closure leads to immediate relief
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.0184
work_keys_str_mv AT mounakodali nicoladonibranhamsigninthecoronariesfistulaclosureleadstoimmediaterelief
AT ajamiltajik nicoladonibranhamsigninthecoronariesfistulaclosureleadstoimmediaterelief
AT suhailqallaqaband nicoladonibranhamsigninthecoronariesfistulaclosureleadstoimmediaterelief
AT nancybarrett nicoladonibranhamsigninthecoronariesfistulaclosureleadstoimmediaterelief
AT khawajaafzalammar nicoladonibranhamsigninthecoronariesfistulaclosureleadstoimmediaterelief