AI Article Synopsis

  • A patient with large bilateral coronary artery fistulae experienced temporary palpitations during pregnancy but remained asymptomatic otherwise.
  • Due to the patient's good health during multiple pregnancies, a conservative management approach was chosen.
  • There is a recommendation to consider closing the fistulae to prevent potential complications like pulmonary hypertension from significant cardiovascular shunting.

Article Abstract

We describe a case of impressive/large bilateral coronary artery fistulae in a patient who developed transient symptoms of palpitations during pregnancy. As this woman remained asymptomatic and her haemodynamic reserves during multiple pregnancies had been good, it was decided to apply a conservative approach. Consideration, in certain circumstances, should be given as to closure of these fistulae, in view of the potential to develop pulmonary hypertension as a result of a significant cardiovascular shunt.

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Source
http://dx.doi.org/10.1016/j.ijcard.2007.05.078DOI Listing

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