Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1987 Nov;58(5):525–527. doi: 10.1136/hrt.58.5.525

Severe pulmonary hypertension and multiple left coronary arterial fistulas in association with congenital hepatic fibrosis.

N G Dewhurst 1, N R Colledge 1, H C Miller 1
PMCID: PMC1277351  PMID: 3676042

Abstract

Multiple fistulous communications between the left anterior descending coronary artery and the left ventricle were found in a 55 year old woman with congenital hepatic fibrosis presenting with breathlessness. At cardiac catheterisation severe pulmonary hypertension was also found. In view of the persistent hypoprothrombinaemia, severe thrombocytopenia, and the multiple fistulas the risk of operation was thought to be unacceptable and she continues on medical treatment.

Full text

PDF
525

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arani D. T., Greene D. G., Klocke F. J. Coronary artery fistulas emptying into left heart chambers. Am Heart J. 1978 Oct;96(4):438–443. doi: 10.1016/0002-8703(78)90152-7. [DOI] [PubMed] [Google Scholar]
  2. Lebrec D., Capron J. P., Dhumeaux D., Benhamou J. P. Pulmonary hypertension complicating portal hypertension. Am Rev Respir Dis. 1979 Oct;120(4):849–856. doi: 10.1164/arrd.1979.120.4.849. [DOI] [PubMed] [Google Scholar]
  3. Liberthson R. R., Sagar K., Berkoben J. P., Weintraub R. M., Levine F. H. Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation. 1979 May;59(5):849–854. doi: 10.1161/01.cir.59.5.849. [DOI] [PubMed] [Google Scholar]
  4. Morgan J. R., Forker A. D., O'Sullivan M. J., Jr, Fosburg R. G. Coronary arterial fistulas: seven cases with unusual features. Am J Cardiol. 1972 Sep;30(4):432–436. doi: 10.1016/0002-9149(72)90578-4. [DOI] [PubMed] [Google Scholar]
  5. NEILL C., MOUNSEY P. Auscultation in patent ductus arteriosus; with a description of two fistulae simulating patent ductus. Br Heart J. 1958 Jan;20(1):61–75. [PMC free article] [PubMed] [Google Scholar]
  6. Oldham H. N., Jr, Ebert P. A., Young W. G., Sabiston D. C., Jr Surgical management of congenital coronary artery fistula. Ann Thorac Surg. 1971 Nov;12(5):503–513. doi: 10.1016/s0003-4975(10)65798-0. [DOI] [PubMed] [Google Scholar]
  7. Urrutia-S C. O., Falaschi G., Ott D. A., Cooley D. A. Surgical management of 56 patients with congenital coronary artery fistulas. Ann Thorac Surg. 1983 Mar;35(3):300–307. doi: 10.1016/s0003-4975(10)61563-9. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES