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A case of sinus of Valsalva-right ventricle fistula without a typical aneurysm, and a single origin of the coronary arteries
- Source :
- International heart journal. 46(3)
- Publication Year :
- 2005
-
Abstract
- Few previous reports have described a sinus of Valsalva fistula without an aneurysm in Japanese patients. A single origin of the coronary arteries is a rare coronary anomaly. We describe a 75-year-old woman with a single origin of the coronary arteries and a sinus of Valsalva fistula without a typical aneurysm. Echocardiography showed turbulent flow from the right coronary sinus of Valsalva to the right ventricle throughout the cardiac cycle. Aortography confirmed the presence of a right coronary sinus of Valsalva-right ventricle shunt jet. Echocardiography and aortography demonstrated that there was no deformity of the sinus of Valsalva. Cardiac catheterization revealed that the left-to-right shunt rate was 29% and the Qp/Qs was 1.41. Aortography and coronary angiography did not identify a right coronary artery originating from the right sinus of Valsalva. Coronary angiography revealed that the right coronary artery arose from the proximal part of the left anterior descending artery and did not detect significant organic stenosis of the coronary artery. She was diagnosed as having a sinus of Valsalva to right ventricle fistula without an aneurysm, and a single origin of the coronary arteries.
- Subjects :
- medicine.medical_specialty
Aortography
medicine.medical_treatment
Fistula
Coronary Vessel Anomalies
Heart Ventricles
Aneurysm
Internal medicine
medicine.artery
medicine
Humans
cardiovascular diseases
Coronary sinus
Cardiac catheterization
Aged
Vascular Fistula
medicine.diagnostic_test
business.industry
General Medicine
Sinus of Valsalva
medicine.disease
Echocardiography, Doppler, Color
Coronary arteries
medicine.anatomical_structure
Right coronary artery
cardiovascular system
Cardiology
Female
Radiology
Cardiology and Cardiovascular Medicine
business
circulatory and respiratory physiology
Artery
Subjects
Details
- ISSN :
- 13492365
- Volume :
- 46
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- International heart journal
- Accession number :
- edsair.doi.dedup.....dec774578375c80c465e1d2bfd07b2fe