Echocardiographic Diagnosis of a Right Coronary Artery-Coronary Sinus Fistula |
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Authors: | Email author" target="_blank">Remzi?YilmazEmail author Recep?Demirbag Mustafa?Gur |
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Institution: | (1) The Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey;(2) The Department of Cardiology, Faculty of Medicine, Harran University, PK 112, Sanliurfa, Turkey |
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Abstract: | In this case report, we describe a 67-year-old woman with right coronary artery-coronary sinus fistula. This woman had complaints
of chest pain. Ischemic ECG changes and a ventricular tachycardia were detected on her electrocardiogram. Transthoracic echocardiography
showed a large right coronary artery and a dilated coronary sinus. Drainage of the coronary artery to the coronary sinus was
detected by colour flow mapping during transesophageal echocardiographic examination, and a 94 mmHg peak gradient was recorded
by continuous wave Doppler at the drainage site. These findings were confirmed by cardiac catheterization. Transthoracic and
transesophageal echocardiography can provide definitive confirmation of the right coronary artery-coronary sinus fistula,
and can be the diagnostic procedure of choice when this anomaly is suspected. |
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Keywords: | coronary coronary sinus echocardiography fistula right coronary |
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