Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-08T00:28:08.422Z Has data issue: false hasContentIssue false
  • English
  • Français

Bizarre electrocardiographic changes during occlusion of a congenital coronary arteriovenous fistula

Published online by Cambridge University Press:  28 May 2012

Ramazan Akdemir ,
Ekrem Yeter ,
Harun Kilic  and
Murat Yucel
Ramazan Akdemir*
Affiliation:
Department of Cardiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
Ekrem Yeter
Affiliation:
Department of Cardiology, Diskapi Yildirim Beyazit Research and Education Hospital, Ankara, Turkey
Harun Kilic
Affiliation:
Department of Cardiology, Diskapi Yildirim Beyazit Research and Education Hospital, Ankara, Turkey
Murat Yucel
Affiliation:
Department of Emergency Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
*
Correspondence to: Dr R. Akdemir, MD, Department of Cardiology, Faculty of Medicine, Sakarya University, Esentepe Kampüsü, Sakarya, Turkey. Tel: 00905336020700; Fax: 0090 2643460347; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A 38-year-old man who had a history of percutaneous coronary artery coil occlusion was admitted to our hospital with chest pain and shortness of breath. His complaint was chest pain, which is typical. ST depressions were observed during the treadmill exercise stress test. Coronary angiography demonstrated the persistence of a coronary arteriovenous fistula and coils in the fistula. Primarily, additional coil placement inside the arteriovenous fistula was decided as the mode of treatment. The coil was first placed inside the arteriovenous fistula and then an attempt was made to detach it. However, it was unsuccessful after four trials and electrical detachment of more than 3 minutes. Finally, a 2.5 × 18-millimetre graft stent was deployed at 20 atmospheric pressure. Electrocardiographic recordings showed bizarre ST segment changes during the electrical detachment of the coil. In this report, we discuss the concealed bizarre electrocardiographic changes that were seen during coronary arteriovenous fistula occlusion.

Keywords

Coronaryfistulaocclusionelectrocardiographystent
Type
Brief Report
Information
Cardiology in the Young , Volume 23 , Issue 2 , April 2013 , pp. 295 - 298
Copyright
Copyright © Cambridge University Press 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Ata, Y, Turk, T, Bicer, M, Yalcin, M, Ata, F, Yavuz, S. Coronary arteriovenous fistulas in the adults: natural history and management strategies. J Cardiothorac Surg 2009; 4: 62, doi:10.1186/1749-8090-4-62.CrossRefGoogle ScholarPubMed
2. Fernandes, ED, Kadivar, H, Hallman, GL, Reul, GJ, Ott, DA, Cooley, DA. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992; 54: 732–740.CrossRefGoogle ScholarPubMed
3. Von Arnim, T, Reuschel-Janetschek, E. Continuous bedside monitoring of the ECG for detection of silent myocardial ischaemia. Coron Artery Dis 1996; 7: 535–540.Google Scholar
4. Mahmarian, JJ, Pratt, CM. Silent myocardial ischemia in patients with coronary artery disease. Possible links with diastolic left ventricular dysfunction. Circulation 1990; 81 (Suppl 2): III33–III40.Google ScholarPubMed
5. Ozhan, H, Akdemir, R, Duran, S, et al. Transient silent ischemia after percutaneous transluminal coronary angioplasty manifested with a bizarre electrocardiogram. J Electrocardiol 2005; 38: 206–209.CrossRefGoogle ScholarPubMed
6. Collins, N, Mehta, R, Benson, L, Horlick, E. Percutaneous coronary artery fistula closure in adults: technical and procedural aspects. Catheterization and Cardiovascular Interventions 2007; 69: 872–880.CrossRefGoogle ScholarPubMed
7. Kilic, H, Akdemir, R, Bicer, A, Dogan, M. Transcatheter closure of congenital coronary arterial fistulas in adults. Coron Artery Dis 2008; 19: 43–45.CrossRefGoogle ScholarPubMed
8. Olearchyk, AS, Runk, DM, Alavi, M, Grosso, MA. Congenital bilateral coronary to pulmonary artery fistulas. Ann Thorac Surg 1997; 64: 233–235.CrossRefGoogle ScholarPubMed
9. Konidala, S, Gutterman, DD. Coronary vasospasm and the regulation of coronary blood flow. Prog Cardiovasc Dis 2004; 46: 349–373.CrossRefGoogle ScholarPubMed