Congenital coronary fistulas, a challenge in therapeutic management
DOI:
https://doi.org/10.37615/retic.v7n1a6Keywords:
coronary fistulas, coronary arteriesAbstract
Congenital coronary fistulas are uncommon vascular anomalies. They typically progress asymptomatically and
are identified in the evaluation a heart murmur. Clinical follow-up and multimodal imaging are crucial for establishing appropriate management for each case. We present a patient who has been followed 25 years of followup for multiple coronary fistulas with significant left-to-left shunting, leading to left ventricular dilation that physiopathologically mimics severe aortic regurgitation. Therapeutic management will depend on clinical evolution
and the anatomical feasibility of closing the fistulous pathways.
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Copyright (c) 2024 Jorge Rodrigo Fernández, Federica Illuminato, Ruperto Oliveró Soldevila, Filipa Xavier Valente, Alessandro Giustiniani , Antonia Piyuan Domenech, Hug Cuellar Calabria, José F. Rodríguez Palomares
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