Surgical management of right coronary artery-coronary sinus fistula causing severe mitral and tricuspid regurgitation.
Coronary arteriovenous (AV) fistula is a rare congenital anomaly, mostly diagnosed incidentally during routine coronary angiography. We report a symptomatic patient with right coronary artery to coronary sinus (RCA-CS) fistula, complicated by aneurysmal dilatation and thrombosis of the CS, causing severe mitral regurgitation (MR) and tricuspid regurgitation (TR).
El Watidy
Ahmed M
AM
Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh 11159, PO Box 7897X967, Saudi Arabia. afwatidy62@gmail.com
Ismail
Huda H
HH
Calafiore
Antonio M
AM
D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D003323:Coronary Aneurysm / Q000209:etiology / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods; D054326:Coronary Sinus / Q000002:abnormalities / Q000601:surgery*; D003328:Coronary Thrombosis / Q000209:etiology / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*