Acute Heart Failure From Coronary Cameral Fistula: Diagnostic Challenge and Therapeutic Opportunity

Raed Qarajeh; Aref Qureini; Randall C Thompson; Ibrahim M Saeed

doi:10.1016/j.jaccas.2020.09.034

Acute Heart Failure From Coronary Cameral Fistula: Diagnostic Challenge and Therapeutic Opportunity

JACC Case Rep. 2020 Dec 16;2(15):2368-2371.e1. doi: 10.1016/j.jaccas.2020.09.034. eCollection 2020 Dec.

Authors

Raed Qarajeh¹, Aref Qureini¹, Randall C Thompson^{1

2}, Ibrahim M Saeed^{1

3

4}

Affiliations

¹ Department of Internal Medicine, University of Missouri-Kansas City, Kansas City, Missouri, USA.
² Saint Luke's Mid America Heart Institute, Kansas City, Missouri, USA.
³ INOVA Heart and Vascular Institute, Falls Church, Virginia, USA.
⁴ Virginia Heart, Falls Church, Virginia, USA.

Abstract

A 40-year-old African American woman presented with dyspnea, orthopnea, weight gain, and ankle edema. She was admitted for acute decompensated heart failure. Coronary angiography revealed coronary cameral fistula. We used multiple imaging modalities to confirm the fistula's pathway. Her left ventricular systolic function improved after repair of coronary cameral fistula. (Level of Difficulty: Beginner.).

Keywords: ADHF, acute decompensated heart failure; CCF, coronary cameral fistula; acute heart failure; cardiac magnetic resonance; computed tomography; coronary artery fistula; coronary cameral fistula; coronary vessel anomaly.

Publication types

Case Reports