Giant Aneurysm of a Coronary-Pulmonary Artery Fistula: A Rare Cause of a Diastolic Murmur

被引：0

作者：

Seitz, Andreas ^{[1
]}

Schaefer, Sophie ^{[1
]}

Backes, Maik ^{[2
]}

Mahrholdt, Heiko ^{[1
]}

Ong, Peter ^{[1
]}

机构：

[1] Robert Bosch Krankenhaus, Dept Cardiol, Auerbachstr 110, D-70376 Stuttgart, Germany

[2] Robert Bosch Krankenhaus, Dept Radiol, Auerbachstr 110, D-70376 Stuttgart, Germany

来源：

CARDIOVASCULAR INNOVATIONS AND APPLICATIONS | 2019年 / 4卷 / 02期

关键词：

coronary anomaly; coronary fistula; giant aneurysm; pulmonary artery; diastolic murmur;

D O I：

10.15212/CVIA.2019.0017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A coronary-pulmonary artery fistula with giant aneurysmal dilatation is an extremely rare clinical constellation. The natural course of this disease and the incidence of complications are unknown. Hence, optimal treatment, particularly in asymptomatic patients, is still a matter of debate. Here we report a case of a 71-year-old asymptomatic woman with a diastolic murmur. Comprehensive cardiovascular assessments including cardiac computed tomography and invasive coronary angiography revealed a coronary-pulmonary artery fistula with giant aneurysmal dilatation. The patient was managed conservatively and has now been followed up for 5 years without any events.

引用

页码：143 / 145

页数：3

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