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Case Reports
. 2013 Sep;22(3):189-92.
doi: 10.1055/s-0033-1349166.

Diagnosis of coronary artery fistulas: clinical aspects and brief review of the literature

Umesh M Sharma  1 , Ahmed F Aslam  2 , Tahir Tak  3
Affiliations
Case Reports

Diagnosis of coronary artery fistulas: clinical aspects and brief review of the literature

Umesh M Sharma et al. Int J Angiol. 2013 Sep.

Abstract

An 86-year-old woman with history of hypertension, diabetes, hyperlipidemia, and coronary artery disease was admitted with new-onset congestive heart failure and pneumonia. She underwent coronary angiography after suffering a non-ST elevation myocardial infarction. There was severe coronary artery disease in addition to coronary artery-pulmonary fistulas involving proximal right coronary artery and a branch of left main coronary artery. Coronary artery fistula (CAF) is an abnormal communication between one or more coronary arteries and great vessels or a cardiac chamber. We reviewed 15 cases of CAFs published in PubMed and studied the clinical features of CAFs.

Keywords: angiography; cardiac catheterization; congestive heart failure; coronary arteries; fistulas.

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Figures

Fig. 1
Fig. 1
Coronary angiogram showing a coronary-to-pulmonary artery fistula at the level of a left main coronary artery.
Fig. 2
Fig. 2
Coronary angiogram showing a right coronary artery branch to pulmonary artery fistula.
See this image and copyright information in PMC

References

    1. Ramos Filho J, Silva O A, Vilarinho D O, Guilherme F G, Ferreira J C, Souza A M. Pulmonary hypertension secondary to coronary-to-pulmonary artery fistula. Arq Bras Cardiol. 2008;91(2):e19–e21. - PubMed
    1. Palloshi A, Aprigliano G. Myocardial ischemia due to a large coronary-pulmonary fistula with plexus-like morphology. J Cardiovasc Med (Hagerstown) 2008;9(11):1163–1165. - PubMed
    1. Mitsutake R, Miura S, Shiga Y, Iwata A, Saku K. Coronary-pulmonary artery fistula with anomalous vessels arising from the right coronary sinus detected by 64-MDCT. Intern Med. 2009;48(21):1893–1896. - PubMed
    1. Jung H S, Lee K T, Bae W, Yun C S, Park C H, Jang J B. Communicating bilateral coronary artery to pulmonary artery fistula with aneurysms. Int J Cardiol. 2011;149(2):e75–e77. - PubMed
    1. Izumi K, Hisata Y, Hazam S. Surgical repair for a coronary-pulmonary artery fistula with a saccular aneurysm of the coronary artery. Ann Thorac Cardiovasc Surg. 2009;15(3):194–197. - PubMed

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