Diagnosis of a coronary artery fistula thirty years after myectomy for septal hypertrophy.
A 61-year-old asymptomatic male patient was evaluated before abdominal surgery. He has a history of septal myectomy in 1969 and an episode of atrial flutter in 1983. On auscultation an atypical murmur was heard. By transthoracic echocardiography the diagnosis was made of a coronary artery fistula after septal myectomy. We discuss the prevalence, diagnosis and natural history of coronary artery fistulas. In our patient we followed a conservative strategy.
Voet
J
J
Department of Cardiology, University Hospital Gent, Belgium.
De Sutter
J
J
De Pauw
M
M
D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002312:Cardiomyopathy, Hypertrophic / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000209:etiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000209:etiology