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Coronary Arteriovenous Fistula

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Comprehensive Approach to Adult Congenital Heart Disease

Abstract

Coronary arteriovenous fistula (AVF) is a communication between the coronary arteries and a cardiac chamber or vein. In about 55 % of patients, the right coronary artery (RCA) and its branches are the site of the fistula. The left coronary artery (LCA) develops this problem in nearly 35 % of cases. Among the chambers, the right ventricle (RV) is the most involved one, followed by the right atrium (RA) and to a lesser extent the coronary sinus. Coronary-to-pulmonary artery (PA) fistulas are rare [1, 2].

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References

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Correspondence to Anita Sadeghpour MD, FACC, FASE .

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310404_1_En_49_MOESM1_ESM.mpg

Huge left main coronary artery in transthoracic echocardiography short axis view (MPG 1024 kb)

Off axis transthoracic echocardiography showing coronary artery fistulae with aneurysmal formation and continuous turbulent flow which drains to the right ventricle (RV) (AVI 2547 kb)

Off axis transthoracic echocardiography showing coronary artery fistulae with aneurysmal formation and continuous turbulent flow which drains to the right ventricle (RV) (MPG 1864 kb)

Off axis transthoracic echocardiography showing coronary artery fistulae with aneurysmal formation and continuous turbulent flow which drains to the right ventricle (RV) (MPG 2682 kb)

310404_1_En_49_MOESM5_ESM.wmv

Left coronary angiography showing aneurysmal dilatation of left main and left anterior descending coronary artery with fistulization to the right ventricle (WMV 803 kb)

Video 49.1

Huge left main coronary artery in transthoracic echocardiography short axis view (MPG 1024 kb)

Video 49.5

Left coronary angiography showing aneurysmal dilatation of left main and left anterior descending coronary artery with fistulization to the right ventricle (WMV 803 kb)

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© 2014 Springer-Verlag London

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Sadeghpour, A., Alizadehasl, A. (2014). Coronary Arteriovenous Fistula. In: Sadeghpour, A., Kyavar, M., Alizadehasl, A. (eds) Comprehensive Approach to Adult Congenital Heart Disease. Springer, London. https://doi.org/10.1007/978-1-4471-6383-1_49

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  • DOI: https://doi.org/10.1007/978-1-4471-6383-1_49

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6382-4

  • Online ISBN: 978-1-4471-6383-1

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