Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2014; 2(12): 927-929
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.927
Rare multiple fistulas with large saccular aneurysms originating from left anterior descending artery and left main coronary artery
Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural
Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey
Author contributions: All authors contributed to this paper.
Correspondence to: Ender Emre, MD, Department of Cardiology, Faculty of Medicine, Kocaeli University, Cedit Mh., Kocaeli 41300, Turkey. dr.enderemre@hotmail.com
Telephone: +90-26-23037370 Fax: +90-26-23038738
Received: June 24, 2014
Revised: September 18, 2014
Accepted: October 1, 2014
Published online: December 16, 2014
Processing time: 176 Days and 15.9 Hours
Abstract

A 49-year-old female patient consulted us for a cardiac evaluation before undergoing colon adenocarcinoma surgery. Three years prior, the patient underwent coronary angiography for dyspnea. The coronary angiography examination revealed a fistula originating from the left anterior descending artery and left main coronary artery, which had soft aneurysmal sacs and most likely drained into the pulmonary artery. Parasternal short axis echocardiography revealed a color flow that could be related to the fistula, but the other echocardiographic findings were normal. The patient did not accept the proposed examination and invasive treatment.

Keywords: Left main coronary artery; Left anterior descending; Fistula; Swinging aneurysmal sacs

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