Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis

Introduction. Coronary artery fistulae (CAF) are rare defects with abnormal communication between a coronary artery with either a cardiac chamber or another vascular structure, bypassing the myocardial capillary network. We report a rare multiple arterial coronary fistulae with drainage to the right...

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Main Author: Abdulrahman Khalifa Alammar
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2014/213673
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author Abdulrahman Khalifa Alammar
author_facet Abdulrahman Khalifa Alammar
author_sort Abdulrahman Khalifa Alammar
collection DOAJ
description Introduction. Coronary artery fistulae (CAF) are rare defects with abnormal communication between a coronary artery with either a cardiac chamber or another vascular structure, bypassing the myocardial capillary network. We report a rare multiple arterial coronary fistulae with drainage to the right pulmonary artery. Case Presentation. A 56-year-old male was brought to our hospital for work-up of severe aortic stenosis. Further evaluation revealed multiple CAF with abnormal drainage to the right pulmonary artery. He was discharged after aortic valve replacement and closure of the coronary fistula. Conclusion. This case demonstrates that patients with complex CAF and drainage to the right pulmonary artery can remain asymptomatic and diagnosed accidentally during cardiac imaging, presenting particular challenges in both medical and surgical treatment.
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spelling doaj-art-9170abce71934219a5183ec727fc52382025-02-03T06:01:14ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/213673213673Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic StenosisAbdulrahman Khalifa Alammar0Department of Medicine, College of Medicine, Qassim University, Qassim, Saudi ArabiaIntroduction. Coronary artery fistulae (CAF) are rare defects with abnormal communication between a coronary artery with either a cardiac chamber or another vascular structure, bypassing the myocardial capillary network. We report a rare multiple arterial coronary fistulae with drainage to the right pulmonary artery. Case Presentation. A 56-year-old male was brought to our hospital for work-up of severe aortic stenosis. Further evaluation revealed multiple CAF with abnormal drainage to the right pulmonary artery. He was discharged after aortic valve replacement and closure of the coronary fistula. Conclusion. This case demonstrates that patients with complex CAF and drainage to the right pulmonary artery can remain asymptomatic and diagnosed accidentally during cardiac imaging, presenting particular challenges in both medical and surgical treatment.http://dx.doi.org/10.1155/2014/213673
spellingShingle Abdulrahman Khalifa Alammar
Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
Case Reports in Cardiology
title Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
title_full Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
title_fullStr Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
title_full_unstemmed Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
title_short Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis
title_sort coronary artery fistulae discovered during presentation of a patient having heart failure due to severe aortic stenosis
url http://dx.doi.org/10.1155/2014/213673
work_keys_str_mv AT abdulrahmankhalifaalammar coronaryarteryfistulaediscoveredduringpresentationofapatienthavingheartfailureduetosevereaorticstenosis