Congenital coronary arteriovenous fistula associated with atrioventricular valvular regurgitation in an octogenarian.
An arteriovenous fistula originating from halfway down the circumflex coronary artery, draining into the coronary sinus was first diagnosed in a patient of 81. For 10 years, she had had dyspnea on exertion, mild mitral regurgitation and permanent ventricular pacing for symptomatic bradyarrhythmia. She was treated medically and despite her age was offered transcatheter balloon embolization, but she refused to undergo such intervention.
Said
S A
SA
Department of Cardiology, Streekziekenhuis Midden-Twente, Hengelo, Ov, Netherlands.
Austermann-Kaper
T
T
Bucx
J J
JJ
D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000209:etiology; D001919:Bradycardia / Q000209:etiology / Q000628:therapy; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D004417:Dyspnea / Q000209:etiology; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology*; D010138:Pacemaker, Artificial; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology