Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-23T14:22:15.370Z Has data issue: false hasContentIssue false

Right coronary artery fistula to the coronary sinus

Published online by Cambridge University Press:  16 April 2012

Miryam Martínez-Pascual*
Affiliation:
Cardiology Service, Santa Lucía University Hospital, Cartagena, Murcia, España
Tomás Vicente-Vera
Affiliation:
Department of Cardiology, Reina Sofía University Hospital, Murcia, España
Manuel Villegas-García
Affiliation:
Cardiology Service, Santa Lucía University Hospital, Cartagena, Murcia, España
*
Correspondence to: M. Martínez-Pascual, MD, Cardiology Service, Calle Mezquita, S/N, CP 30202 Cartagena, Murcia, España. Tel: +34 968326989; Mobile: +34 659559771; Fax: +34 968326989; E-mail: miryammpascual@gmail.com

Abstract

We report the case of a 26-year-old asymptomatic woman, who presented for consultation after the detection of a cardiac murmur in a medical routine recognition. Doppler echocardiography and the 64-row multidetector computed tomography showed the presence of a significant enlargement of the right coronary artery winding in the contour of the right ventricle and its fistulosa connection to the coronary sinus. Although the coronary fistula in our patient had a considerable size, there was no ventricular dilation, and thus we chose, according to the desire of the patient, not to intervene, and to evaluate her regularly.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Barriales-Villa, R, Morís, C, López-Muñiz, A, et al. Anomalías congénitas de las arterias coronarias del adulto descritas en 31 años de estudios coronariográficos en el Principado de Asturias: principales características angiográficas y clínicas. Rev Esp Cardiol 2001; 54(3): 269281.Google Scholar
2. Lim, KE, Tsai, KT, Ko, YL. Multidetector-row computed tomography in diagnosis of a large right coronary artery aneurysm resulting from arteriovenous fistula. Acta Cardiol Sin 2008; 24: 4750.Google Scholar
3. Budoff, MJ, Achenbach, S, Blumenthal, RS, et al. Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation 2006; 114(16): 17611791.Google Scholar