[Syncope with @entity1167 in a 30-year-old XXXX ].

@entity1 @entity301 @entity292 @entity1167 @entity453 @entity943 @entity65
HISTORY AND ADMISSION FINDINGS: A 30-year-old @entity1 presented with a @entity1167 , which spontaneously converted into a regular sinus rhythm. The @entity1 had no prior history of @entity65 . On admission, the cardiovascular clinical examination of this young female was regular. INVESTIGATIONS: On admission, discrete inferior repolarisation changes were documented which were slightly progressive during the next day. Electrophysiologic examination of the heart was regular, angiography showed a coronary @entity292 and an atypical descense of the circumflex artery from the right coronary artery. DIAGNOSIS: Right @entity453 to the right ventricle. Atypical descense of the circumflex artery from the right coronary artery. TREATMENT AND COURSE: During hospitalisation no @entity943 or pauses were revealed. The @entity1 underwent cardiac pacemaker implantation. We plan a transcatheter closure of the @entity292 . CONCLUSIONS: Coronary fistulas are a rare cause of @entity943 . Angiography performed at an early stage is therefore crucial in the initial assessment of a young adult presenting with @entity1167 and subsequent changes in the ECG, as a small proportion may have @entity301 . The occlusion of the @entity292 by transcatheter or cardiac surgery is appropriate, especially as the risks of the interventions are limited.
