Demonstration of coronary venous stenosis via intraventricular wall injection in case of left ventricle to coronary venous fistula.

Article Sidebar

PDF
Published: Sep 25, 2019
DOI: https://doi.org/10.31524/bkkmedj.2012.09.017

Main Article Content

Ratanapunt Incharoensak, MD
Cardiovascular Medicine, Bangkok Heart Hospital, Bangkok Hospital Group, Bangkok, Thailand.

Abstract

A 77-year-old-woman, a known case of coronary artery disease (CAD), diabetes mellitus (DM) and hypertension developed dyspnea and oppression. She had a history of congestive heart failure, and hyponatemia. This responded well to conservative management. The coronary angiogram showed normal left main coronary artery left anterior descending (LAD) and showed the patent stent at mid LAD. The left circumflex artery (LCX) was normal. The right coronary artery showed proximal focal 30% stenosis. The left ventriculography (LVG) showed Left ventricular hypertrophy (LVH) with good contractility and function ejection fraction (EF) 75%. The tip of the catheter embedded in the left ventricular wall (A) which is proved by injection the opaque media. It filled the cardiac venules, the great cardiac veins (B) and segment of coronary sinus vein stenosis (C, D). The coronary sinus (E) is seen.

Article Details

How to Cite
1.
Incharoensak, MD R. Demonstration of coronary venous stenosis via intraventricular wall injection in case of left ventricle to coronary venous fistula. BKK Med J [internet]. 2019 Sep. 25 [cited 2026 Oct. 20];4(1):113. available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/217996
Issue
Vol. 4 (2012): September
Section
Medical Images
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This article is published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). You may copy and redistribute the material for noncommercial purposes, provided that appropriate credit is given and a link to the license is included. Modified versions may not be distributed under this license.

License: https://creativecommons.org/licenses/by-nc-nd/4.0/

References

1. Ulma G, Stevenson JG, Lupinetti FM, et al. Transesophageal Echocardiographic diagnosis of iatrogenic coronary sinus stenosis -a case report. J Thorac Cardiovasc Surg 1997;114:493-5.
2. Wang SY, Yeh SJ, Lin FC. Coronary sinus stenosis as a late complication of catheter ablasion in Wolff-Parkinson-White syndrome. Cathet cardiovasc diagn 1997;42:70-2.
3. De Voogt GW, Ruiter HJ. Occlusion of the coronary sinus. A complication of resynchronization therapy for severe heart failure. Europace 2006;8:456-8.
4. Rao CV, Raghu K, Sharada K, et al. Absent Coronary Venous Sinus: A Rare Anomaly. Indian Heart J 2001;53:353-3.