Ramazan ÖZDEMİR, Alpay Turan SEZGİN, Cemal TUNCER, Hasan PEKDEMİR, Aytekin GÜVEN

Semptomatik korono-kamaral fistül: Olgu sunusu

56 yaşında, kadın hasta; göğüs ağrısı, çarpıntı ve başdönmesi nedeniyle kardiyoloji polikliniğine başvurdu. Hastaya Efor testi ve Holter uygulandıktan sonra, koroner anjiografi önerildi. Çekilen anjiografi'de: sol ana koronerden sirkumfleks arter lokalizasyonundan çıkan, proksimalinde anjiomatöz yumaklaşma gösteren, distale doğru kalınlaşarak giden ve sol atriuma - sol serbest duvarı seviyesinde boşalan korono-kamaral fistül tesbit edildi. Anjina pektoris ve ventriküler aritmili hastaların ayırıcı tanısında bu gibi seyrek olguların da hatırlanması gerektiği düşünüldü. Bu koroner anomaliye çok nadir rastlanılması sebebiyle olgu sunusu olarak takdim edildi.

Symptomatic coronary-camaral fistula: A case report

56 years old, female patient was admitted to the Department of Cardiology Clinic because of chest pain, palpitation and dizzines. After examination, Holter and Treadmill tests were performed and coronary angiography was suggested. Angiography revealed a coronary-camaral fistula; originating from left main, near localized circumflex artery lodge, which its proximal portion consist of angiomateuse complex while distal portion getting thicker and draining in the free wall of left atrium. Although coronary-camaral arterial fistulae are rare ruling out this entity in patients with angina pectoris and ventricular arrhythmia is essential and we believe worth publishing.

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1. Myerburg RJ, Castellanos A. Caed i ac arrest and sudden card i ac death. Braunwald E. Heart d i sease. A textbook of cardiovascular medi c ine. Fifth ed i ti on. WB Saunders, Ph i ladelph i a, 1997:742-72.
2. Waller BF. Nonatherosclerotic coronary heart disease. Alexander RW, Schlant RC, Fuster V. Hurst's The Heart. n i nth editi on. Mc Graw-Hill, New York 1998;Volume 1: 1197-232.
3. Bittl J.A. Levi n D.C. Coronary arteriography. Braunwald E. Heart d i sease. A textbook of cardi ovascular med i c i ne. F i fth ed i t i on. WB Saunders, Philadelphi a, 1997:240-69.
4. Reidy JF, Anjos RT, Quresh i SA, Baker EJ, Tynan MJ. Transcatheter embol i zation i n the threatment of coronary artery fistulas. J Am Coll Card i ol 1991; 18:187-92.
5. Gupta NC, Beauva i s J. Physi olog i c assessment of coronary artery fi stula. Cl i n Nucl Med 1991 Jan;16+1):40-2.
6. Tkebuchava T, Von Segesser LK, Vogt PR, Jenni R, Arbenz U, Turina M. Congen i tal coronary fistulas i n children and adults: diagnosi s, surgical techn i que and results. J Card i ovasc Surg (Tori no) 1996 Feb;37(1):29-34.
7. Fernandes ED, Kad ivar H, Hallman GL, Reul GJ, Ott DA, Cooley DA. Congen i tal malformati ons of the coronary arteri es: the Texas Heart Inst i tute experience. Ann Thorac Surg 1992 Oct;54(4):732-40.
8. Urruti a-S CO, Falaschi G, Ott DA, Cooley DA. Surg i cal management of 56 pati ents with congeni tal coronary artery f stulas. Ann Thorac Surg 1983 Mar;35(3):300-7.
9. Perry SB, Rome J, Keane JF, Ba i m DS, Lock JE. Transcatheter closure of coronary artery fi stulas. J Am