The transesophageal color flow Doppler appearance of coronary artery fistulas have not been described previously. We present a patient with a fistulous connection between the right coronary artery and the right atrium with an additional connection to the coronary sinus. The fistulous connection to the coronary sinus, confirmed at operation, was only diagnosed with transesophageal color flow Doppler and missed on both transthoracic echocardiography and cardiac catheterization. In addition, intraoperative transesophageal echocardiography was extremely useful in confirming closure of both these fistulas, thus confirming a successful operative result.

Coronary Vessel Anomalies↗

PubMedDate not supplied

Cardiovascular problems in pregnancy.

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Adrenergic beta-Antagonists↗

PubMedDate not supplied

Intracoronary stenting: an overview for the clinician.

Intracoronary stenting reduces restenosis rates and effectively treats abrupt vessel closure, two frequent complications following percutaneous coronary angioplasty (PTCA). But it has drawbacks, such as in-stent restenosis, high cost, and lack of long-term follow-up data. This paper discusses current indications and the future role of stenting.

Angioplasty, Balloon, Coronary↗