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Mitral Stenosis With Left Atrial Appendage Thrombi and Coronary-Cameral Fistula Between Branches of the Left Circumflex Artery and Left Atrium-A Case Report

摘要


Herein, we report a case of rheumatic mitral stenosis (MS) with a coronary-cameral fistula (CCF) from the atrial and ramus branches of the left circumflex artery (LCx), revealed by coronary angiography. A 61-year-old woman with a history of rheumatic MS and paroxysmal atrial fibrillation experienced an embolic event with ischemic stroke. Transesophageal echocardiography revealed left atrial appendage (LAA) thrombi. Before mitral valve replacement, left coronary angiography showed a CCF from the atrial and ramus branches of the LCx draining into the left atrium and enhancement of LAA thrombi by contrast staining. During surgery, LAA thrombi were found.

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