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Published on October 8, 2009
Interactive CardioVascular and Thoracic Surgery 2009, doi:10.1510/icvts.2009.214445
© 2009 European Association of Cardio-Thoracic Surgery
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Cardiac general

Surgical management of right coronary artery-coronary sinus fistula causing severe mitral and tricuspid regurgitation

Ahmed M. El-Watidy 1*, Huda H. Ismail 1, Antonio M. Calafiore 1

1 Prince Sultan Cardiac Center, Riyadh, Saudi Arabia

* To whom correspondence should be addressed. E-mail: afwatidy62{at}gmail.com.


  Abstract
Coronary arteriovenous (AV) fistula is rare congenital anomaly, mostly diagnosed incidentally during routine coronary angiography. We report a symptomatic patient with right coronary artery to coronary sinus (RCA-CS) fistula, complicated by aneurysmal dilatation and thrombosis of the CS, causing severe mitral regurgitation (MR) and tricuspid regurgitation (TR). Keywords: Coronary sinus thrombosis; Coronary arteriovenous fistula; Giant coronary sinus




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