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Case Reports
. 2005;32(1):56-9; discussion 58-9.

Congenital circumflex coronary arteriovenous fistula with aneurysmal termination in the pulmonary artery

Ahmad K Darwazah  1 , Izzedein H Hussein, Mohammad H Hawari
Affiliations
Case Reports

Congenital circumflex coronary arteriovenous fistula with aneurysmal termination in the pulmonary artery

Ahmad K Darwazah et al. Tex Heart Inst J. 2005.

Abstract

Coronary arteriovenous fistula is a rare congenital anomaly that is seen in 0.1 % to 0.2% of coronary angiograms. Aneurysmal formation in the fistula is even rarer. We report a case of congenital circumflex arteriovenous fistula with aneurysmal formation just near its termination in the pulmonary artery, associated with atherosclerotic left anterior descending coronary artery. The anomaly was successfully repaired.

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Figures

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Fig. 1 The fistula arises from the side of the circumflex coronary artery, follows a tortuous pathway, and terminates in an aneurysmal dilatation just above its entrance into the pulmonary artery.
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Fig. 2 Intraoperative views show A) the fistula's aneurysmal dilatation above the entrance to the pulmonary artery and B) the terminus of the fistula after the pulmonary artery has been opened.
See this image and copyright information in PMC

References

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