CORONARY STENOSIS AND STEAL PHENOMENON IN CORONARY-PULMONARY FISTULA : Assessment with Stress Thallium Tomography After Coronary Angioplasty and Fistulectomy
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概要
- 論文の詳細を見る
We present a 46-year-old male with unstable angina and bilateral coronary-to-pulmonary artery fistulae in whom reversible myocardial ischemia was detected by exercise-stress thallium-201 single-photon emission computed tomography (SPECT). Coronary angiography revealed a 99% stenosis at the proximal site of the left descending coronary artery and bilateral coronary-to-pulmonary artery fistulae with a saccular aneurysm. Percutaneous transluminal coronary angioplasty abolished chest pain and electrocardiographic changes. However, definitely improved, but still present, stress-induced perfusion abnormalities were demonstrated by an exercise-stress thallium-201 SPECT study. Myocardial ischemia was the only serious complication related to the coronary fistulae, and after they were surgically resected, the reversible perfusion abnormality was no longer observed. These findings suggest that coronary-to-pulmonary artery fistulae potentiated the myocardial ischemia in patient with coronary stenosis leading to unstable angina and prolonged the presence of coronary perfusion abnormality on stress thallium scans probably through a coronary steal phenomenon.
- 社団法人日本循環器学会の論文
- 1993-09-20
著者
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NAKATA Tomoaki
Second Department of Internal Medicine, Sapporo Medical University School of Medicine
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Motoe Masaomi
Department Of Cardiology Teine Keijinkai Hospital
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Nakata Tomoaki
Second Department Of Internal Medicine (cardiology) Sapporo Medical University School Of Medicine
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Nakata Tomoaki
Second Department Of Internal Medicine School Of Medicine Sapporo Medical University
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MUKAI HIROYA
Department of Cardiology, Teine Keijinkai Hospital
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MINEMAWARI YOSHIMORI
Department of Cardiology, Teine Keijinkai Hospital
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HANAWA NAGISA
Department of Cardiology, Teine Keijinkai Hospital
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MITA TERUAKI
Department of Cardiology, Teine Keijinkai Hospital
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Mita Teruaki
Department Of Cardiology Teine Keijinkai Hospital
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Mukai Hiroya
Department Of Cardiology Teine Keijinkai Hospital
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Hanawa Nagisa
Department Of Cardiology Teine Keijinkai Hospital
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Minemawari Yoshimori
Department Of Cardiology Teine Keijinkai Hospital
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