False positive retroaortic left circumflex coronary artery in a patient with atrial septal defect

2017 ◽  
Vol 34 (5) ◽  
pp. 799-801
Author(s):  
Saurabh Kumar Gupta ◽  
Anunay Gupta ◽  
Sivasubramanian Ramakrishnan ◽  
Shyam S. Kothari
Keyword(s):  
Coronary Artery ◽  
Atrial Septal Defect ◽  
False Positive ◽  
Septal Defect ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery

scholarly journals Successful percutaneous occlusion of a large left circumflex coronary artery fistula draining into the coronary sinus using a ventricular septal defect occluder: a case report

2020 ◽  
Vol 4 (2) ◽  
pp. 1-6
Author(s):  
Anastasia D Egorova ◽  
Peter Ewert ◽  
Martin Hadamitzky ◽  
Andreas Eicken
Keyword(s):  
Coronary Artery ◽  
Ventricular Septal Defect ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Heart Defects ◽  
Coronary Artery Fistula ◽  
Circumflex Coronary Artery ◽  
Left Circumflex Coronary Artery ◽  
Complex Anatomy

Abstract Background Coronary artery fistula (CAF) is a congenital anomaly of the coronaries that can lead to significant intracardiac shunting and myocardial ischaemia. Case summary We describe the case of a 15-year-old male with an incidentally documented precordial cardiac murmur. An evidently dilated coronary sinus (CS) on transthoracic echocardiography prompted further investigation. A computed tomography (CT) revealed the presence of a large CAF from the left circumflex coronary artery to the CS. No other structural heart defects were detected. A haemodynamically significant intracardiac shunt was confirmed during cardiac catheterization, and it was decided to close the fistula. This was successfully performed using a ventricular septal defect (VSD) occluder (Konar 10-8, Lifetech Scientific) that was deployed through a 6 Fr right coronary guiding catheter. A partial thrombotic occlusion of the CS behind the closure device was noted during follow-up which led to anticoagulation in a higher target INR range and concomitant start of low dose carbasalate calcium to reduce further retrograde thrombus extension. Patient is doing well at over 1 year of follow-up, and no further thrombotic extension into the CS was seen on a recent CT. Discussion This report illustrates the diagnostic workup and a percutaneous treatment strategy of a CAF using a VSD occluder. We also describe a not previously reported complication, thrombotic CS occlusion. Improving transcatheter techniques and marketing of novel devices with a broad spectrum of applications can offer new opportunities for treating CAF and avoiding surgical correction often involving cardiopulmonary bypass, reserving this option for patients with complex anatomy or failed transcatheter closure.

scholarly journals Anomalous origin of circumflex coronary artery from right pulmonary artery associated with atrial septal defect

2017 ◽  
Vol 29 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Mustafa A. Al-Muhaya ◽  
Aitizaz Syed ◽  
Abdul Hameed A. Najjar ◽  
Mohammad Mofeed ◽  
Mansour Al-Mutairi
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Anomalous Origin ◽  
Circumflex Coronary Artery ◽  
Right Pulmonary Artery

VD05 BENTALL OPERATION IN BICUSPID VALVE AND ANOMALOUS LEFT CIRCUMFLEX CORONARY ARTERY

2018 ◽  
Vol 19 ◽  
pp. e34
Author(s):  
S. Nicolardi ◽  
G. Scrascia ◽  
F. Mangia ◽  
A. Gallo ◽  
L. Amorese ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Circumflex Coronary Artery ◽  
Bentall Operation ◽  
Bicuspid Valve ◽  
Left Circumflex Coronary Artery

Congenital Absence of Left Circumflex Coronary Artery: Circumflex Artery Extended from Right Coronary Artery

1999 ◽  
Vol 29 (1) ◽  
pp. 67
Author(s):  
Jeong Woon Park ◽  
Kwang Soo Cha ◽  
Seong Wook Park ◽  
Soo Hoon Lee ◽  
In Ah Seo ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Congenital Absence ◽  
Circumflex Coronary Artery ◽  
Circumflex Artery ◽  
Left Circumflex Coronary Artery
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