scholarly journals First Diagonal Coronary Artery: Left Ventricular Fistula Presenting as Unstable Angina

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Murat Sener ◽  
Mehmet Akkaya ◽  
Muammer Bilici
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Unstable Angina ◽  
Left Ventricular ◽  
Vascular Structure ◽  
Rare Form ◽  
Cardiac Chamber

Coronary artery fistulae are characterized by communications between a coronary artery and a cardiac chamber or another vascular structure. They are usually congenital, but acquired forms may occur. Most patients are usually asymptomatic. However, some studies have emphasized that the incidence of symptoms and complications increases with age, particularly after the age of 20 (Liberthson et al. 1979, Hong et al. 2004). We aimed to present a very rare form of fistula originating from the first diagonal artery and connecting into the left ventricle.

scholarly journals Multiple Coronary Chamber Microfistulas or Persistent Thebesian Vessels?

2017 ◽  
Vol 2 (3) ◽  
pp. 262-265
Author(s):  
Daniel Cernica ◽  
Lehel Bordi ◽  
Elena Beganu ◽  
Ioana Rodean ◽  
Imre Benedek
Keyword(s):  
Coronary Artery ◽  
Invasive Coronary Angiography ◽  
Left Ventricular ◽  
Vascular Network ◽  
Bundle Branch Block ◽  
Cardiac Chamber ◽  
Atherosclerotic Lesions ◽  
Left Ventricular Chamber ◽  
History Of ◽  
Gender Specific

Abstract Coronary fistulas are rare, not gender-specific congenital conditions, consisting of communications between the coronary arteries and either another coronary vessel or a cardiac chamber. In contrast to large fistulas, small fistulas, named “minimae cordis veneae” or the Thebesius venous system, are draining into heart chambers and form a vascular network in the cardiac lumen. In this article, we present the case of a 72-year-old female with a significant history of cardiovascular disease, admitted to our clinic because of rest dyspnea, fatigue, and minimal chest pain. The 12-lead electrocardiogram showed a trifascicular block (a second-degree atrioventricular block Mobitz II, associated with a right bundle branch block and left anterior fascicle block) and negative T waves in DII, DIII, aVF, V4–V6 leads. An invasive coronary angiography was performed, which revealed no significant atherosclerotic lesions. However, a persistent capillary blush was present at the apex site of the left ventricular chamber, draining from the distal segments of both the anterior descending coronary artery and the posterior interventricular coronary artery. The intramural vascular network generating a left ventricle angiogram image of this kind was suggestive for persistent Thebesian vessels connecting the two coronaries with the left ventricular chamber.

scholarly journals Three Vessel Coronary Cameral Fistulae Associated with New Onset Atrial Fibrillation and Angina Pectoris

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Murat Yuksel ◽  
Abdulkadir Yildiz ◽  
Mustafa Oylumlu ◽  
Nihat Polat ◽  
Halit Acet ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Left Ventricle ◽  
Coronary Arteries ◽  
Diastolic Pressure ◽  
Left Ventricular ◽  
Ventricular Rate ◽  
Fistula Formation ◽  
New Onset

Coronary cameral fistulas are abnormal communications between a coronary artery and a heart chamber or a great vessel which are reported in less than 0.1% of patients undergoing diagnostic coronary angiography. All three major coronary arteries are even less frequently involved in fistula formation as it is the case in our patient. A 68-year-old woman was admitted to cardiology clinic with complaints of exertional dyspnea and angina for two years and a new onset palpitation. Standard 12-lead electrocardiogram revealed atrial fibrillation (AF) with a ventricular rate of 114 beat/minute and accompanying T wave abnormalities and minimal ST-depression on lateral derivations. Transthoracic echocardiographic examination was normal except for diastolic dysfunction, minimally mitral regurgitation, and mild to moderate enlargement of the left atrium. Sinus rhythm was achieved by medical cardioversion with amiodarone infusion. Coronary angiography revealed diffuse and multiple coronary-left ventricle fistulas originating from the distal segments of both left and right coronary arterial systems without any stenosis in epicardial coronary arteries. The patient’s symptoms resolved almost completely with medical therapy. High volume shunts via coronary artery to left ventricular microfistulas may lead to increased volume overload and subsequent increase in end-diastolic pressure of the left ventricle and may cause left atrial enlargement.

Algorithm for diagnosis and typing of ALCAPA syndrome

2021 ◽  
Vol 3 (2) ◽  
pp. 01-07
Author(s):  
Mariela Céspedes Almira ◽  
Adel Eladio González Morejón ◽  
Giselle Serrano Ricardo ◽  
Tania Rosa González Rodríguez ◽  
Judith Escobar Bermúdez
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Left Coronary Artery ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Volume Index ◽  
Cross Sectional ◽  
End Diastolic Volume ◽  
Congenital Origin ◽  
Diagnostic Modalities

ALCAPA syndrome was characterized by anomalous origin of left coronary artery from pulmonary artery. Its clinical presentation is varied and although it is an anomaly of congenital origin, it is not exclusive to pediatric ages. Its epidemiological documentation is difficult. We aimed to make the non-invasive diagnosis of the ALCAPA syndrome and its variants. An observational, prospective and cross-sectional study was conducted with 31 patients with a positive echocardiographic diagnosis of ALCAPA syndrome at Pediatric Cardio Center “William Soler” from 2005 to 2018. The variables with significance for diagnosis were the echocardiographic visualization of the anomalous connection and the reversed flow in the left coronary artery. The variables with significance for typing were age at diagnosis, ischemia in the electrocardiogram, echocardiographic visualization of left ventricle papillary muscles fibrosis, presence of severe mitral regurgitation, left ventricle spheroidal remodeling, left ventricle ejection fraction, left ventricular end-diastolic volume index, and left ventricular end-diastolic diameter index. An algorithm integrated by various diagnostic modalities associated with echocardiography as a tool for the detection of ALCAPA was developed. The documentation of the diagnostic and classificatory aspects of the syndrome is possible by detecting echocardiographic elements in conjunction with electrocardiographic and radiological aspects.

scholarly journals Heart anatomy of Giraffa camelopardalis rothschildi: a case report

2008 ◽  
Vol 53 (No. 3) ◽  
pp. 165-168 ◽  
Author(s):  
W. Perez ◽  
M. Lima ◽  
G. Pedrana ◽  
F. Cirillo
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Left Ventricle ◽  
Left Coronary Artery ◽  
Left Ventricular ◽  
Left Auricle ◽  
Papillary Muscles ◽  
Atrioventricular Valve ◽  
Heart Anatomy ◽  
The Right

In the present study the most outstanding anatomical findings of the heart of a giraffe are described. Two papillary muscles were found in the right ventricle, namely magnus and subarterial. There were no papillary parvi muscles. The supraventricular crest gave insertion to various tendinous chords. These chords fixed the angular cusp of the right atrioventricular valve. The pectinate muscles were better developed in the left auricle than in the right one. Within the left ventricle two big papillary muscles were found as well as a notorious septomarginal trabecula. The left coronary artery irrigated the majority of the heart’s territory. It gave origin to the interventricular paraconal branch and to the circumflex branch. The latter gave off the branch of the left ventricular border and the interventricular subsinosal branch.

scholarly journals Coronary-Cameral Fistula with Angina Pectoris

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Akif Cakar ◽  
Ersan Tatli
Keyword(s):  
Coronary Artery ◽  
Angina Pectoris ◽  
Left Ventricle ◽  
Coronary Artery Stenosis ◽  
Coronary Arteriography ◽  
Vascular Disorder ◽  
Cardiac Chamber ◽  
Left Anterior Descending Artery ◽  
Coronary Cameral Fistula ◽  
Vessel Coronary Artery

Coronary-cameral fistula (CCF) is an anomalous connection between a coronary artery and cardiac chamber. Most of CCFs are discovered incidentally during angiographic evaluation for coronary vascular disorder. We report a case of CCF with angina pectoris. Selective coronary arteriography revealed diffuse CCF involving the left anterior descending artery (LAD) emptying into left ventricle (LV) and showed significant two-vessel coronary artery stenosis.

Role of speckle tracking echocardiography in the assessment of post-repair left ventricular function in patients with late presentation of anomalous origin of the left coronary artery from the pulmonary artery

2014 ◽  
Vol 25 (5) ◽  
pp. 969-975 ◽  
Author(s):  
Gholamhosein Ajami ◽  
Mohammad R. Edraki ◽  
Ali R. Moarref ◽  
Ahmad A. Amirghofran ◽  
Mohammad Borzouee ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Pulmonary Artery ◽  
Speckle Tracking ◽  
Left Coronary Artery ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Anomalous Origin ◽  
Control Group

AbstractThe aim of this study was to determine the left ventricular myocardial deformation and segmental myocardial dysfunction by speckle tracking echocardiography and tissue Doppler imaging among the operated patients with anomalous origin of the left coronary artery from the pulmonary artery. The study was conducted on 12 patients diagnosed with anomalous origin of the left coronary artery from the pulmonary artery, who had been operated upon between 2001 and 2013 at the medical centres of Shiraz University of Medical Sciences, Shiraz, Iran. The mean age of the patients at the time of surgical correction was 12.6 years ranging from 6 months to 43 years, and the duration of postoperative follow-up was between 1 and 12 years. Comparison of the strain rate between the patients with acceptable ejection fraction and the control group by tissue Doppler imaging showed significant differences between the two groups regarding the lateral wall (p<0.001), but not the septal wall of the left ventricle (p=0.65). Moreover, the strain values by the speckle tracking method revealed significant differences between the patient and the control group regarding the global strain (p=0.016) and anterior, lateral, and posterior segments of the left ventricle. Although postoperative conventional echocardiography revealed normal global left ventricular function with acceptable ejection fraction, abnormal myocardial deformation of the variable segments of the left ventricle with regional and global myocardial dysfunction were well defined by speckle tracking echocardiography.

scholarly journals CHRONIC POSTINFARCTION ANEURYSMS OF THE LEFT VENTRICLE: HISTORY, CLINICAL FEATURES, DIAGNOSTIC METHODS. NEW CLASSIFICATION OF CHRONIC POSTINFARCTION ANEURYSMS OF THE LEFT VENTRICLE IN PATIENTS WITH CORONARY ARTERY DISEASE.

2021 ◽  
Author(s):  
Aleksandr V. Bocharov ◽  
Leonid V. Popov ◽  
Astan K Mittsiev ◽  
Magomet D Lagkuev
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Diagnostic Methods ◽  
New Classification ◽  
Historical Aspects ◽  
Artery Disease ◽  
Optimal Treatment Strategy

the article highlights the historical aspects of the development of the concept of diagnosis and treatment of post-infarct left ventricular aneurysms, the possibilities of the main diagnostic methods, and also offers a new classification of post-infarct left ventricular aneurysms, taking into account the type of blood supply and the nature of the coronary lesion, which allows determining the optimal treatment strategy

scholarly journals Features of left ventricular myocardial remodeling associated with state of coronary сollateral arteries in patients with intermediate function of left ventricle and background of acute decompensation of heart failure

2018 ◽  
Vol 20 (3) ◽  
pp. 33-36
Author(s):  
E G Skorodumova ◽  
V A Kostenko ◽  
E A Skorodumova ◽  
A V Siverina ◽  
A V Rysev
Keyword(s):  
Heart Failure ◽  
Blood Flow ◽  
Coronary Artery ◽  
Left Ventricular Ejection Fraction ◽  
Left Ventricle ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Acute Decompensation ◽  
Myocardial Remodelling

Features of left ventricular myocardial remodelling depending on the state of collateral coronary flow are presented. Disorders of the left ventricle`s myocardium local contractility in patients with the intermediate function of left ventricle under acute decompensation of heart failure were studied. It was established that in such patients with postinfarction cardiosclerosis the main disorders were more often obtained in the basal and middle parts of lower and posterior walls of left ventricle vascularized by a circumflex branch of the left coronary artery or right coronary artery. It was shown that as blood flow increased in coronary collaterals; increase in left ventricular ejection fraction was 7%. In this case, an improvement in collateral blood flow by 1 point according to the Rentrop’s modified classification was accompanied by an increase in the left ventricular ejection fraction by 2 relative percents. In addition, in patients with intermediate left ventricular function, types of left ventricular myocardial remodelling were determined. Thus, in the pathogenesis of acute decompensation of heart failure, an important link is remodelling of the left ventricular myocardium, that is a complex of changes in structure and geometry that occurred under the action of trigger factor. Determination of qualitative type of remodelling, as well as its relationship with changes in extracellular matrix, is important for assessing the risk of cardiovascular complications and selecting adequate therapeutic tactics. and a volume fraction of interstitial collagen was calculated in patients with intermediate left ventricular function and background of acute decompensation of heart failure.

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