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Case Reports
. 2022 Mar;39(3):538-542.
doi: 10.1111/echo.15309. Epub 2022 Feb 3.

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

Rami M Abazid  1 , Aashish Goela  2 , Ali Islam  2 , Sarah Blissett  1
Affiliations
Case Reports

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

Rami M Abazid et al. Echocardiography. 2022 Mar.

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.

Keywords: coronary artery fistula; coronary sinus; persistent left superior vena cava.

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References

REFERENCES

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