Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem

A coronary artery fistula (CAF) is an abnormal communication between a coronary artery and a cardiac chamber or a great vessel. CAFs are rare based on coronary arteriography and when found they most often empty into the right ventricle and atrium and less often into the high pressure, low compliance...

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Main Authors: Omar Kahaly, Konstantinos Dean Boudoulas
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/2406250
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author Omar Kahaly
Konstantinos Dean Boudoulas
author_facet Omar Kahaly
Konstantinos Dean Boudoulas
author_sort Omar Kahaly
collection DOAJ
description A coronary artery fistula (CAF) is an abnormal communication between a coronary artery and a cardiac chamber or a great vessel. CAFs are rare based on coronary arteriography and when found they most often empty into the right ventricle and atrium and less often into the high pressure, low compliance left ventricle (LV). A patient who presented with atypical chest pain and was found to have multiple small CAFs originating from the ramus intermedius coronary artery and emptying into the LV is presented. This case highlights the challenges in providing an appropriate therapy for multiple small CAFs emptying into the LV.
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spelling doaj-art-e457216266c6413589c92f6cec95757c2025-02-03T01:11:37ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/24062502406250Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging ProblemOmar Kahaly0Konstantinos Dean Boudoulas1Department of Medicine, Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USADepartment of Medicine, Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USAA coronary artery fistula (CAF) is an abnormal communication between a coronary artery and a cardiac chamber or a great vessel. CAFs are rare based on coronary arteriography and when found they most often empty into the right ventricle and atrium and less often into the high pressure, low compliance left ventricle (LV). A patient who presented with atypical chest pain and was found to have multiple small CAFs originating from the ramus intermedius coronary artery and emptying into the LV is presented. This case highlights the challenges in providing an appropriate therapy for multiple small CAFs emptying into the LV.http://dx.doi.org/10.1155/2016/2406250
spellingShingle Omar Kahaly
Konstantinos Dean Boudoulas
Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
Case Reports in Medicine
title Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
title_full Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
title_fullStr Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
title_full_unstemmed Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
title_short Multiple Small Coronary Artery Fistulas Emptying into the Left Ventricle: A Rare but Challenging Problem
title_sort multiple small coronary artery fistulas emptying into the left ventricle a rare but challenging problem
url http://dx.doi.org/10.1155/2016/2406250
work_keys_str_mv AT omarkahaly multiplesmallcoronaryarteryfistulasemptyingintotheleftventricleararebutchallengingproblem
AT konstantinosdeanboudoulas multiplesmallcoronaryarteryfistulasemptyingintotheleftventricleararebutchallengingproblem