A rare case of aorto-to-pulmonary artery fistula associated with three coronary arteries-to-pulmonary artery fistulas

Aortopulmonary window is a rare congenital heart disease that can increase pulmonary vascular resistance, exacerbate left-to-right shunt and lead to heart failure and respiratory tract infections. Most patients die during childhood. We report a 53-year-old male patient with a large aortopulmonary window combined with anomalous origin of the right pulmonary artery from the aorta, with Eisenmenger syndrome and without surgery.

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Heart failure in an elderly man: where is that coronary?

Cardiology in the Young ◽

10.1017/s104795112100007x ◽

2021 ◽

pp. 1-4

Author(s):

Charlie J. Sang ◽

Stephen A. Clarkson ◽

Elizabeth A. Jackson ◽

Firas Al Solaiman ◽

Marc G. Cribbs

Keyword(s):

Heart Failure ◽

Coronary Artery ◽

Pulmonary Artery ◽

Medical Therapy ◽

Coronary Arteries ◽

Right Coronary Artery ◽

Adult Population ◽

Anomalous Coronary ◽

Anomalous Coronary Arteries

Abstract Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

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Coronary-pulmonary artery fistula in tetralogy of Fallot with pulmonary atresia

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492313505101 ◽

2013 ◽

Vol 22 (8) ◽

pp. 1003-1009 ◽

Cited By ~ 3

Author(s):

Sachin Talwar ◽

Robert H Anderson ◽

Vikas Kumar Keshri ◽

Shiv Kumar Choudhary ◽

Gurpreet Singh Gulati ◽

...

Keyword(s):

Pulmonary Artery ◽

Tetralogy Of Fallot ◽

Pulmonary Atresia ◽

Pulmonary Artery Fistula

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Systemic artery: pulmonary artery fistula after closed chest cardiac massage.

BMJ ◽

10.1136/bmj.1.6019.1190 ◽

1976 ◽

Vol 1 (6019) ◽

pp. 1190-1190 ◽

Cited By ~ 3

Author(s):

M W Stannard ◽

D J Delany ◽

G F Murray

Keyword(s):

Pulmonary Artery ◽

Cardiac Massage ◽

Closed Chest ◽

Systemic Artery ◽

Pulmonary Artery Fistula

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COILUMICA: coil embolization of a coronary artery to pulmonary artery fistula via novel dual lumen micro catheter technique

CVIR Endovascular ◽

10.1186/s42155-020-00177-4 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Mithun Nambiar ◽

Julian Maingard ◽

Kenny Li ◽

Lee-Anne Slater ◽

Ronil V. Chandra ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coil Embolization ◽

Coronary Artery Fistula ◽

Exertional Dyspnea ◽

Balloon Catheters ◽

Catheter Technique ◽

Patient Reported ◽

Pulmonary Artery Fistula ◽

Micro Catheter

Abstract Background Management of coronary artery fistula (CAF) is based on obliterating the fistula communication between the cardiac arteries and other thoracic vessels. Case presentation We describe the presentation of an 85-year-old female with progressive exertional dyspnea on a background of a long standing left anterior descending diagonal to pulmonary artery fistula. We utilized neuro-interventional techniques to perform coil embolization via use of a Scepter XC dual lumen micro catheter. Conclusions Dual lumen balloon catheters allow for super-selective artery interrogation, stability of balloon positioning, with less trauma to vessel architecture and accurate embolization. There were no complications and the patient reported improvement of symptoms on review.

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