학술논문
A rare case of giant left circumflex coronary artery fistula to coronary sinus in patient with persistent left superior vena cava and bicuspid aortic valve.
Document Type
Article
Source
Subject
*ECHOCARDIOGRAPHY
*VENA cava superior
*VENTRICULAR ejection fraction
*CARDIAC pacing
*TREATMENT effectiveness
*CARDIOGENIC shock
*BLOOD-vessel abnormalities
*CORONARY arteries
*AORTIC valve insufficiency
*COMPUTED tomography
*HEART failure
*RARE diseases
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Language
ISSN
0742-2822
Abstract
A 61‐year‐old male presented with symptoms of decompensated heart failure and cardiogenic shock. Transthoracic and transesophageal echocardiography showed severely impaired left ventricular (LV) systolic function (LVEF of 20–25%), bicuspid aortic valve with moderate aortic insufficiency and no significant stenosis, dilated coronary sinus and a tortuous vascular structure in the left‐sided atrioventricular groove. Cardiac computed tomography confirmed the diagnosis of persistent left superior vena cava and a giant coronary artery fistula to the coronary sinus. Cardiac magnetic resonance illustrated non‐specific late gadolinium enhancement in the mid‐wall of the septum. The patient was treated medically and with cardiac re‐synchronization therapy. [ABSTRACT FROM AUTHOR]