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Case Report
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| Rare congenital cardiac anomaly presenting with predominant respiratory complaint: A case report | ||||||
| Sheetal Chaurasia1, Ravi Kumar2, Alamelu Haran3, Srikanth Katare4 | ||||||
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1Assistant Professor, Department of respiratory medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
2Associate Professor, Department of Respiratory Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. 3Professor and Head, Department of Respiratory Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. 4Post graduate, Department of respiratory medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. | ||||||
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| How to cite this article |
| Chaurasia S, Kumar R, Haran A, Katare S. Rare congenital cardiac anomaly presenting with predominant respiratory complaint: A case report. Int J Case Rep Images 2015;6(11):678–681. |
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Abstract
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Introduction:
Coronary cameral fistula is a rare anomaly where there is a fistulous connection between coronary artery and one of the cardiac chambers. It generally presents with predominant cardiac complaints or as accidental finding in an asymptomatic individual. Our patient presented chiefly with respiratory complaint and was misdiagnosed as tuberculosis.
Case Report: A 22-year-old female presented in chest OPD with complains of cough and fever since one month and was started on anti-tubercular treatment since one month. On examination there was continuous murmur, thrill and coarse crackles in right axillary area. On Chest X-ray there was a multi-lobulated mass in the right side with upper zone linear and cystic opacities. Computed tomography (CT) scan of Thorax showed right middle lobe bronchiectasis and a large fistula arising from right coronary artery and draining into right superior pulmonary vein and left atrium. Cardiac catheterization confirmed the diagnosis and coronary arteriovenous fistula closure was done by percutaneous route via lifetechcera vascular plug. Conclusion: Coronary cameral fistula despite being large in size may remain silent without causing any hemodynamic abnormality or any compromise in the cardiac function. The predominant complaint may be due to pressure effect of the aneurysmal vessel on adjacent bronchi and causing secondary changes in the pulmonary parenchyma fed by these bronchi. A thorough clinical examination may clinch the diagnosis. | |
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Keywords:
Arteriovenous fistula, Congenital anomaly, Coronary cameral fistula, Middle lobe bronchiectasis, Respiratory involvement
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Author Contributions
Sheetal Chaurasia – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ravi Kumar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Alamelu Haran – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Srikanth Katare – Acquisition of the data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Sheetal Chaurasia et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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