Coronary-cameral fistula in association with Klinefelter syndrome: exercise-induced ventricular tachycardia late after surgical ligation.
Twenty two years after surgical ligation of a large coronary-cameral fistula originating from the circumflex artery and terminating to the right atrium, non-sustained exercise-induced ventricular tachycardia occurred in a 26-year-old male with known Klinefelter (XXY) syndrome. Cardiac catheterization showed satisfactory closure of the defect, but also revealed occlusion of the circumflex coronary artery, associated with inferolateral infarction.
Said
S A
SA
Department of Cardiology, Streekziekenhuis Midden-Twente, Hengelo, Netherlands.
Bucx
J J
JJ
van de Weel
F A
FA
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications* / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000601:surgery; D005080:Exercise Test / Q000009:adverse effects; D006325:Heart Atria / Q000002:abnormalities; D006801:Humans; D007713:Klinefelter Syndrome / Q000150:complications*; D008026:Ligation; D008297:Male; D013610:Tachycardia / Q000209:etiology*; D013997:Time Factors