title: Left circumflex coronary artery to hepatic vein fistula: a case report and brief review of coronary vasculogenesis.
abstract: Coronary artery fistulas are rare coronary artery anomalies. Their clinical significance varies from a long asymptomatic course to overt heart failure and death. They are often detected incidentally with diagnostic coronary angiograms. Cardiologists increasingly encounter coronary artery fistulas secondary to recent improvements in cardiovascular imaging modalities. Management is still controversial, especially in asymptomatic cases with less significant shunts. Here, we describe a 62-year-old woman with a left circumflex artery to hepatic vein fistula found on coronary angiography. The patient is being managed conservatively using nuclear imaging studies and echocardiographic evaluation.
authors: Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, TX, USA. cihan.cevik@ttuhsc.edu
authors: Cihan
authors: C
authors: Cevik
authors: Kenneth
authors: K
authors: Nugent
authors: Veli Kemal
authors: VK
authors: Topkara
authors: Mohammad
authors: M
authors: Otahbachi
authors: Leigh Ann
authors: LA
authors: Jenkins
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D003331:Coronary Vessels / Q000473:pathology* / Q000503:physiopathology; D004452:Echocardiography; D005260:Female; D006503:Hepatic Veins / Q000002:abnormalities / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D018919:Neovascularization, Physiologic; D015899:Tomography, Emission-Computed, Single-Photon