Left circumflex coronary artery to hepatic vein fistula: a case report and brief review of coronary vasculogenesis.
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.
Cevik
Cihan
C
Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, TX, USA. cihan.cevik@ttuhsc.edu
Nugent
Kenneth
K
Topkara
Veli Kemal
VK
Otahbachi
Mohammad
M
Jenkins
Leigh Ann
LA
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