Multiple Coronary Artery Fistulas With a Huge Right Coronary Artery Showing Exacerbation During 16 Years of Follow-up
スポンサーリンク
概要
- 論文の詳細を見る
A 38-year-old Japanese woman underwent cardiac evaluation to assess an arrhythmia detected after the delivery of her fourth baby. At the age of 22 years, she had undergone cardiac evaluation, including catheter examination, because of a heart murmur. Coronary angiography showed a huge right coronary artery (RCA) draining to the right atrium and a normal left coronary artery. Because the left to right shunt ratio was trivial and the patient was asymptomatic, conservative observation was undertaken. On the current admission to hospital, there was a grade III continuous murmur at the second left sternal border. The patient underwent right and left cardiac catheter examination in March 2000. Selective coronary angiography demonstrated an enlarged lumen of the RCA, an enlarged aneurysmal cavity in the terminal portion of the RCA, and the postero-descending artery being filled by collateral circulation from the left coronary artery. Moreover, 2 new fistulas had appeared from the left coronary system. An oxygen saturation study showed that the pulmonary to somatic flow ratio (Qp/Qs) was 2.2. The patient underwent surgical treatment in July 2000 and on coronary angiography 1 month later, there was no abnormal shunt flow from either coronary artery into the aneurysmal cavity, although the RCA was still enlarged.
- 社団法人日本循環器学会の論文
- 2003-12-20
著者
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Tadehara Futoshi
Department Of Cardiovascular Medicine Hiroshima University Graduate School Of Biochemical Sciences
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Gomyo Yukihiko
Hiroshima - Ct Angiography Research Project (h-carp) Group
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Tadehara Futoshi
Department Of Cardiovascular Medicine Hiroshima University Graduate School Of Biomedical Science
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Tadehara Futoshi
Division Of Cardiology Mazda Hospital Hiroshima Prefecture
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Sugihara Masaaki
Division of Cardiology, Mazda Hospital, Hiroshima Prefecture
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Yamamoto Hideya
Division of Cardiology, Mazda Hospital, Hiroshima Prefecture
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Matsushita Hiroko
Division of Cardiology, Mazda Hospital, Hiroshima Prefecture
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Gomyo Yukihiko
Division of Cardiology, Mazda Hospital, Hiroshima Prefecture
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Mochizuki Takaaki
Division of Cardiovascular Surgery, Akanekai Tsuchiya General Hospital
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Marui Akira
Division of Cardiovascular Surgery, Akanekai Tsuchiya General Hospital
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Gomyo Yukihiko
Division Of Cardiology Mazda Hospital Hiroshima Prefecture
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Tadehara Futoshi
Department Of Molecular And Internal Medicine Hiroshima University
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Gomyo Yukihiko
Department Of Cardiology Mazda Hospital Mazda Motor Corporation
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Yamamoto Hideya
Department Of Molecular And Internal Medicine Hiroshima University
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Tadehara Futoshi
Department Of Cardiology Kure Kyosai Hospital
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Sugihara Masaaki
Division Of Cardiology Mazda Hospital Hiroshima Prefecture
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Mochizuki Takaaki
Division Of Cardiovascular Surgery Akanekai Tsuchiya General Hospital
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Marui Akira
Division Of Cardiovascular Surgery Akanekai Tsuchiya General Hospital
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Yamamoto Hideya
Department Of Molecular And Internal Medicine Graduate School Of Biomedical Sciences Hiroshima Unive
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Matsushita Hiroko
Division Of Cardiology Mazda Hospital Hiroshima Prefecture
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Tadehara Futoshi
Department Of Cardiology Mazda Hospital Mazda Motor Corporation
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Marui Akira
Division Of Cardiology Kyoto Medical Center National Hospital Organization
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Marui Akira
Division Of Cardiology Kyoto Medical Center
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