scholarly journals A Rare Case of a Giant Coronary Sinus with Focal Aneurysm Secondary to Multiple Fistulous Connections Arising from a Dilated, Tortuous Left Circumflex Coronary Artery

CASE ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. 99-102
Author(s):  
Natalie F.A. Edwards ◽  
Vishva A. Wijesekera ◽  
Bonita A. Anderson ◽  
Mohsen Habibian ◽  
Darryl J. Burstow ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Rare Case ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery

scholarly journals Unusual echocardiographic image of a left circumflex coronary artery with anomalous origin from the right coronary sinus

2015 ◽  
Vol 37 (9) ◽  
pp. 792-792
Author(s):  
Stefano Bonapace ◽  
Edoardo Adamo ◽  
Carmelo Cicciò ◽  
Andrea Chiampan ◽  
Guido Canali ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Anomalous Origin ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery ◽  
Echocardiographic Image ◽  
The Right

scholarly journals Successful percutaneous occlusion of a large left circumflex coronary artery fistula draining into the coronary sinus using a ventricular septal defect occluder: a case report

2020 ◽  
Vol 4 (2) ◽  
pp. 1-6
Author(s):  
Anastasia D Egorova ◽  
Peter Ewert ◽  
Martin Hadamitzky ◽  
Andreas Eicken
Keyword(s):  
Coronary Artery ◽  
Ventricular Septal Defect ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Heart Defects ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery ◽  
Complex Anatomy

Abstract Background Coronary artery fistula (CAF) is a congenital anomaly of the coronaries that can lead to significant intracardiac shunting and myocardial ischaemia. Case summary We describe the case of a 15-year-old male with an incidentally documented precordial cardiac murmur. An evidently dilated coronary sinus (CS) on transthoracic echocardiography prompted further investigation. A computed tomography (CT) revealed the presence of a large CAF from the left circumflex coronary artery to the CS. No other structural heart defects were detected. A haemodynamically significant intracardiac shunt was confirmed during cardiac catheterization, and it was decided to close the fistula. This was successfully performed using a ventricular septal defect (VSD) occluder (Konar 10-8, Lifetech Scientific) that was deployed through a 6 Fr right coronary guiding catheter. A partial thrombotic occlusion of the CS behind the closure device was noted during follow-up which led to anticoagulation in a higher target INR range and concomitant start of low dose carbasalate calcium to reduce further retrograde thrombus extension. Patient is doing well at over 1 year of follow-up, and no further thrombotic extension into the CS was seen on a recent CT. Discussion This report illustrates the diagnostic workup and a percutaneous treatment strategy of a CAF using a VSD occluder. We also describe a not previously reported complication, thrombotic CS occlusion. Improving transcatheter techniques and marketing of novel devices with a broad spectrum of applications can offer new opportunities for treating CAF and avoiding surgical correction often involving cardiopulmonary bypass, reserving this option for patients with complex anatomy or failed transcatheter closure.

A rare case of anomalous left circumflex coronary artery from the left pulmonary artery

2003 ◽  
Vol 88 (2-3) ◽  
pp. 305-307 ◽  
Author(s):  
Jinyoung Song ◽  
Jaeyoung Lee ◽  
Soojin Kim ◽  
Woosup Shim ◽  
Woonghwan Kim ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Rare Case ◽  
Left Pulmonary Artery ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery

scholarly journals Left circumflex coronary artery aneurysm combined with fistula to the left ventricle

2020 ◽  
Author(s):  
Zhang Yue ◽  
Manwei Liu ◽  
Kailun Zhang ◽  
Yali Yang ◽  
Fei Li
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Rare Case ◽  
Coronary Artery Aneurysm ◽  
Artery Aneurysm ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Right Heart ◽  
Left Circumflex Coronary Artery ◽  
The Right

Coronary artery fistula (CAF) are abnormal connections between a coronary artery and cardiac chambers or with other vessels. CAF occurs in about 0.1% of adult patients and most commonly affects the right heart. We present a rare case of left circumflex coronary artery aneurysm with fistula to the left ventricle.

scholarly journals Intraoperative Surgical Sealant Application during Cardiac Defect Repair

2014 ◽  
Vol 41 (4) ◽  
pp. 440-442 ◽  
Author(s):  
Luis J. Garcia-Morales ◽  
Mahesh Ramchandani ◽  
Matthias Loebe ◽  
Michael J. Reardon ◽  
Brian A. Bruckner ◽  
...  
Keyword(s):  
High Pressure ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
Coronary Sinus ◽  
Suture Repair ◽  
Cardiac Defect ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery ◽  
Surgical Sealant ◽  
Defect Repair

Bleeding can occur as a sequela to cardiac surgery. Surgical products—such as conventional sutures and clips, and somewhat less conventional sealants—have been developed to prevent this event. Among these, CoSeal is a sealant used at our institution; here we report the cases of 2 patients in whom CoSeal was used successfully as either a supplement or an alternative to suture repair. This sealant was found to be useful in attaining hemostasis both in high-pressure ventricular repair and in the rupture of a friable coronary sinus adjacent to vital structures (in this instance, a left circumflex coronary artery).

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