Bilateral coronary to pulmonary artery fistulae--5 1/2 years of follow-up with conservative treatment.
Coronary artery fistulae are uncommon form of coronary anomalies, often diagnosed incidentally during coronary arteriography. Dual origin of fistulae from both coronary arteries draining into the pulmonary arterial branches is extremely rare and their natural history is unknown. In this report, we present a case of middle aged female with an incidental finding of bilateral coronary artery to pulmonary artery fistulae on coronary arteriography, which was followed clinically for 5 1/2 years with conservative treatment, remaining in NYHA class I to II with no symptoms directly related to her coronary artery fistulae.
Kumar
Anil
A
Department of Medicine, Sound Shore Medical Centre of Westchester, New York Medical College, New Rochelle, New York 10802, USA. akgothwal@yahoo.com
Murtaza
Mohammed
M
Yazdanfar
Shahriar
S
D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000628:therapy; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging