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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

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Right coronary artery coronary sinus fistula with coronary sinus ostium stenosis

Lihong Pu1, Rongjuan Li1, Ya Yang1

  • 1Department of Echocardiography, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Echocardiography (Mount Kisco, N.Y.)
|May 19, 2017
PubMed

Insights

A rare coronary artery anomaly, right coronary artery fistula, can lead to coronary sinus issues. This case highlights a right coronary artery to coronary sinus fistula causing coronary sinus dilation and ostial stenosis.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Vascular Anomalies

Background:

  • Coronary artery fistula (CAF) is a rare congenital coronary artery anomaly.
  • Typically, right coronary artery (RCA) fistulas drain into the right ventricle, right atrium, or pulmonary artery.

Observation:

  • This report details a patient with a right coronary artery to coronary sinus fistula (RCACSF).
  • The fistula was associated with significant pathology of the coronary sinus (CS).

Findings:

  • The patient presented with aneurysmal dilatation of the coronary sinus.
  • Stenosis of the coronary sinus ostium was also observed in conjunction with the RCACSF.

Implications:

  • This case expands the understanding of potential complications associated with coronary artery fistulas.
  • Highlights the importance of considering complex venous drainage and secondary structural changes in RCACSF.
  • Suggests the need for careful evaluation of coronary sinus anatomy and function in patients with RCACSF.

Keywords:
aneurysmal dilatationcoronary artery fistulacoronary sinus ostium stenosis

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