A CLINICAL CASE OF ENDOVASCULAR TREATMENT OF CORONARY-RIGHT ATRIAL AND SUBCLAVIAN PULMONARY- RIGHT ATRIAL FISTULA
https://doi.org/10.24060/2076-3093-2017-7-1-38-42
Abstract
The article gives a detailed analysis of examination and treatment of a patient with of coronary-right atrial and subclavian pulmonary- right atrial fistula. Coronary fistula is congenital anomaly when the coronary artery flows into chambers of heart that results in blood shunting and steal syndrome. The severity assessment of the clinical symptoms was performed by using ECG, x-ray chest, ECHO-CG, angiography. The embolization of the fistula using Gianturco coils and further estimation in one month and then in two months were conducted. As a result, the patient have decreased clinical symptoms of the disease i.e. walk distance increased, breath shortness decreased, lungs pneumatization increased, heart chambers size became normal. The endovascular embolization of coronary fistulas using coils is a highly effective and safe method, leading to improvement of the clinical picture.
About the Authors
A. Z. Sharafeev
State Budgetary Educational Institution of Additional Professional Education «Kazan State Medical Academy» of Health Ministry
Russian Federation
Russian Federation
Doctor of Medicine, Head of Cardiology, Endovascular and Cardiovascular Surgery Department,
Kazan
B. M. Sharafutdinov
Kazan (Privolzhsky) Federal University Health Service
Russian Federation
Russian Federation
Candidate of Medical Sciences, Physician of X-ray Surgical Methods of Diagnostics and Treatment Department of MAD KFU,
Kazan
A. F. Khalirkhmanov
Kazan (Privolzhsky) Federal University Health Service
Russian Federation
Russian Federation
Physician of X-ray Surgical Methods of Diagnostics and Treatment Department of MAD KFU,
Kazan
A. A. Utyasheva
Kazan (Privolzhsky) Federal University Health Service
Russian Federation
Russian Federation
Aritmology Doctor of X-ray Surgical Methods of Diagnostics and Treatment Department of MAD KFU,
Kazan
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Review
For citations:
Sharafeev A.Z., Sharafutdinov B.M., Khalirkhmanov A.F., Utyasheva A.A. A CLINICAL CASE OF ENDOVASCULAR TREATMENT OF CORONARY-RIGHT ATRIAL AND SUBCLAVIAN PULMONARY- RIGHT ATRIAL FISTULA. Creative surgery and oncology. 2017;7(1):38-42. (In Russ.) https://doi.org/10.24060/2076-3093-2017-7-1-38-42
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