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Arteriovenous and intercoronary fistulae presenting as heart failure in an adult

Arquivos Brasileiros de Cardiologia, ISSN: 1678-4170, Vol: 105, Issue: 5, Page: 445-446
2015
  • 0
    Citations
  • 2,276
    Usage
  • 2
    Captures
  • 0
    Mentions
  • 7
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Usage
    2,276
  • Captures
    2
  • Social Media
    7
    • Shares, Likes & Comments
      7
      • Facebook
        7

Article Description

A 79-year-old man with prior aortic valve replacement was admitted to our hospital due to exertional angina. Single‑photon emission computed tomography revealed ischemia at the territory of the left anterior descending artery (LAD) and the right coronary artery (RCA) (Figures 1 A and B). Coronary arteriography (Figures 1 C and D) and cardiac computed tomographic angiography (Figure 1 E), including volume rendering reconstruction (Figure 1 F), revealed an arteriovenous fistula between the proximal LAD and the pulmonary artery (PA). There was another fistula between the ostium of the RCA and the PA (Figures 1 G and H). This vessel gave origin to a small branch to the middle part of the LAD, before reaching the PA, thus forming a third, intercoronary fistula (Figures C, D and F).

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