Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion
This is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes. On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection. The patient remained stable with no further chest pain. She was treated w...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/706820 |
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| _version_ | 1850224473384419328 |
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| author | Seshasayee Narasimhan |
| author_facet | Seshasayee Narasimhan |
| author_sort | Seshasayee Narasimhan |
| collection | DOAJ |
| description | This is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes. On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection. The patient remained stable with no further chest pain. She was treated with IV Eptifibatide for 48 hours and restudied in 72 hours. Repeat coronary angiography showed a marginally improved proximal dissection plane with a coronary AV fistula. She was managed conservatively and discharged with a non-invasive assessment in 8 weeks. The patient had a negative stress echocardiogram and was managed with maximal medical therapy. |
| format | Article |
| id | doaj-art-4e9bf1638e8e4fffafbabc3fb5993462 |
| institution | OA Journals |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-4e9bf1638e8e4fffafbabc3fb59934622025-08-20T02:05:36ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/706820706820Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total OcclusionSeshasayee Narasimhan0Manning Rural Referral Hospital, Cardiovascular Division, Department of Medicine, Hunter New England Health Services, Taree, NSW 2430, AustraliaThis is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes. On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection. The patient remained stable with no further chest pain. She was treated with IV Eptifibatide for 48 hours and restudied in 72 hours. Repeat coronary angiography showed a marginally improved proximal dissection plane with a coronary AV fistula. She was managed conservatively and discharged with a non-invasive assessment in 8 weeks. The patient had a negative stress echocardiogram and was managed with maximal medical therapy.http://dx.doi.org/10.1155/2013/706820 |
| spellingShingle | Seshasayee Narasimhan Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion Case Reports in Vascular Medicine |
| title | Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion |
| title_full | Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion |
| title_fullStr | Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion |
| title_full_unstemmed | Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion |
| title_short | Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion |
| title_sort | coronary arteriovenous fistula secondary to percutaneous coronary intervention of chronic total occlusion |
| url | http://dx.doi.org/10.1155/2013/706820 |
| work_keys_str_mv | AT seshasayeenarasimhan coronaryarteriovenousfistulasecondarytopercutaneouscoronaryinterventionofchronictotalocclusion |