Severe pulmonary hypertension and multiple left coronary arterial fistulas in association with congenital hepatic fibrosis.
نویسندگان
چکیده
Multiple fistulous communications between the left anterior descending coronary artery and the left ventricle were found in a 55 year old woman with congenital hepatic fibrosis presenting with breathlessness. At cardiac catheterisation severe pulmonary hypertension was also found. In view of the persistent hypoprothrombinaemia, severe thrombocytopenia, and the multiple fistulas the risk of operation was thought to be unacceptable and she continues on medical treatment.
منابع مشابه
Coronary artery fistulas from both coronary arteries to pulmonary artery detected by multi-slice cardiac computed tomography.
• Vol 9 • April 2007 CA Fistulas Detected by MSCT A 57 old man was admitted for exertional dyspnea and chest pain. During workup, a chest computed tomography scan was performed and a very large and unusual arterial structure was observed in the left anterior descending position. The patient was referred for evaluation by cardiac multi-slice CT. Non-invasive coronary angiography was performed us...
متن کاملCongenital systemic and coronary-to-pulmonary artery fistulas.
Congenital systemic-to-pulmonary artery fistulas are very rare, with the exception of congenital heart disease and pulmonary sequestration. We describe the first reported case of left internal mammary and bronchial artery to pulmonary artery fistulas associated with bilateral coronary arteries to pulmonary artery fistulas.
متن کاملLeft main bronchus compression due to main pulmonary artery dilatation in pulmonary hypertension: two case reports.
Pulmonary arterial dilatation associated with pulmonary hypertension may result in significant compression of local structures. Left main coronary artery and left recurrent laryngeal nerve compression have been described. Tracheobronchial compression from pulmonary arterial dilatation is rare in adults, and there are no reports in the literature of its occurrence in idiopathic pulmonary arteria...
متن کاملMultiple myocardial bridge in a 59 year-old woman
Introduction: Myocardial bridging is a congenital condition in which a segment of a major epicardial coronary artery has an intra myocardial route. Myocardial bridging is usually confined to a single vessel and is typically the mid segment of the left anterior descending artery. Bridging may be associated with chest pain, myocardial infarction, and sudden cardiac death, or usually asymptomati...
متن کاملA case of severe pulmonary hypertension associated with common arterial trunk and VSD in a 9 years old child
Background: Common arterial trunk (CAT) is a rare congenital heart disease, and often leads to the early development of pulmonary hypertension and disability. Among the critical structural heart defects, the frequency of CAT is 3%, which reflects the severe hemodynamic disturbances. The natural course of the disease is characterized by a high mortality rate up to 88% during the first year of li...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- British heart journal
دوره 58 5 شماره
صفحات -
تاریخ انتشار 1987