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Interact CardioVasc Thorac Surg 2005;4:81-82. doi:10.1510/icvts.2004.097865
© 2005 European Association of Cardio-Thoracic Surgery
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Christian Schlensak
Friedhelm Beyersdorf
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Case report - Cardiac general

A fistula between the circumflex artery and the coronary sinus mimicks coronary artery disease in a 63-year-old woman

Wolfgang Bothe1, Christian Schlensak1, Andreas van de Loo2 and Friedhelm Beyersdorf1,*

1 Department of Cardiovascular Surgery, University of Freiburg, Freiburg i. Br., Germany
2 Department of Cardiology, University of Freiburg, Freiburg i. Br., Germany

*Corresponding author: Department of Cardiovascular Surgery, University of Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany. Tel.: +49-761-270-2818; fax: +49-761-270-2550 .

E-mail address: beyers{at}ch11.ukl.uni-freiburg.de (F. Beyersdorf).

A 63-year-old woman presented with angina and shortness of breath (NYHA III). Selective coronary angiography revealed a gross AV-fistula between the circumflex artery and the coronary sinus. The patient underwent operative closure of the fistula and was discharged home without symptoms.

Key Words: Coronary anomaly; Coronary artery disease; Heart surgery

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