Circumflex Coronary Artery Fistula Draining into Coronary Sinus

• Autor(a) principal: Silva,Gabriela Carvalho
• Data de Publicação: 2022
• Outros Autores: Silva,Diana Patricia Lamprea Sepulveda, Tenorio,Euclides, Santos Filho,Edmilson Cardoso dos, Oliveira,Fabiana Michelle Feitosa de, Torres,João Henrique de Andrade, Correia,Patrícia Eduardo Teles, Ferreira,Clístanes Lucas Henrique, Silva,Petrus Thiago Jorge Lopes da, Moraes,Fernando
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000500776
• topic: Fistula; Coronary Vessel Anomalies; Valvular Annuloplasty; Thrombosis

ABSTRACT Coronary artery fistula draining into the coronary sinus is a rare vascular malformation, and its diagnosis and clinical manifestations usually occur late. We describe the case of a 72-year-old female patient with dyspnea on exertion (New York Heart Association Class III) associated with palpitations. The transthoracic echocardiogram showed significant tricuspid insufficiency. Cardiac catheterization showed aneurysm of the circumflex coronary artery and fistula of this artery draining into the coronary sinus. The patient underwent fistula ligation and tricuspid valve repair, with excellent surgical results.