title: Congenital aneurysm of the left coronary sinus and left main coronary artery with fistulous communication to the right atrium in pregnancy.
abstract: We describe a unique case of a left coronary arteriovenous fistula arising from a left sinus of Valsalva aneurysm in a pregnant woman. The relevant diagnostic contributions of two-dimensional echocardiography, color flow Doppler, magnetic resonance imaging, and angiography are discussed. The hemodynamic manifestations of this anomaly in pregnancy and the eventual surgical correction are reviewed.
authors.affiliation: State University of New York Health Sciences Center, Brooklyn.
authors.forename: N
authors.initials: N
authors.lastname: Goldberg
authors.forename: Z
authors.initials: Z
authors.lastname: Zisbrod
authors.forename: R
authors.initials: R
authors.lastname: Kipperman
authors.forename: N
authors.initials: N
authors.lastname: Krasnow
authors.forename: D
authors.initials: D
authors.lastname: Gordon
authors.forename: Y
authors.initials: Y
authors.lastname: Shapir
authors.forename: R
authors.initials: R
authors.lastname: Stein
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000151:congenital* / Q000473:pathology; D001159:Arterio-Arterial Fistula / Q000473:pathology*; D009202:Cardiomyopathies / Q000473:pathology*; D003330:Coronary Vessel Anomalies / Q000473:pathology*; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D012850:Sinus of Valsalva / Q000473:pathology*