Coronary Artery Fistula From the Left Circumflex to the Coronary Sinus
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概要
- 論文の詳細を見る
A 27-year-old woman, who had received mitral valve repair for mitral regurgitation resulting from infective endocarditis, was admitted for a close examination of abnormal echocardiographic findings in the left atrium. Transthoracic echocardiography showed trivial mitral regurgitation with normal left ventricular contraction and dilatation of the coronary sinus. Auscultation revealed a grade 2 continuous murmur along the left sternal border. Transesophageal echocardiography demonstrated a marked dilatation of the coronary sinus just behind the posterior wall of the left atrium and turbulent blood flow in the dilated coronary sinus. Cardiac catheterization showed no significant step-up of oxygen saturation in the right heart and normal pulmonary artery pressure. Coronary angiography revealed a markedly dilated and tortuous circumflex coronary artery connected to the coronary sinus through a fistula. A left circumflex artery with a fistulous connection to the coronary sinus is extremely rare.
- International Heart Journal刊行会の論文
著者
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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Fukunaga Shuji
Department Of Cardiovascular Surgery Kurume University School Of Medicine
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Ishihara Kenji
Department of Surgery, Kurume University School of Medicine
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Nakamura Eiji
Department Of Electrical Engineering Faculty Of Engineering Kanagawa University
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Egawa Noriko
Department Of Surgery Kurume University School Of Medicine
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Hosokawa Yukio
Department Of Biology Faculty Of Science Chiba University
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Ishihara Kenji
Department Of Civil Engineering Chuo University
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Fukunaga Shuji
Department of Surgery, Kurume University School of Medicine
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