Pulmonary hypertension secondary to coronary-to-pulmonary artery fistula.
The coronary fistula is an anomaly characterized by the communication between a coronary artery and a cardiac chamber, pulmonary artery, coronary sinus and pulmonary veins. It represents 0.2 to 0.4% of the congenital cardiopathies and 0.1% to 0.2% of the adult population submitted to coronary angiography. We report the clinical case of a 64-year-old female patient, whose anomaly was diagnosed during a clinical investigation due to chest discomfort, dyspnea and syncope; the surgical correction was indicated, with opening of the pulmonary artery through extracorporeal circulation.
Ramos Filho
José
J
Universidade São Francisco, Bragança Paulista, SP - Brasil. joseramos@cardiol.br
Silva
Otávio Andrade Carneiro da
OA
Vilarinho
Diego Oliveira
DO
Guilherme
Filipe Giordano
FG
Ferreira
Jomara Custódio
JC
Souza
Aline Miranda de
AM
D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery