Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature

Autor: Chiara Lanzillo, Angelo Acitelli, Maria Penco, Silvio Romano, Maria Benedetta Giannico, Leonardo Calò, Renata Petroni, Luciano Maresca, Sabrina Bencivenga
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Cardiology
Case Reports in Cardiology, Vol 2019 (2019)
ISSN: 2090-6412
2090-6404
Popis: Coronary artery fistulas are rare abnormal connections between a coronary artery and a cardiac chamber or a major vessel. Often, they are asymptomatic and the diagnosis is accidental. The case we present is the incidental finding of a fistula displayed with echocardiography during acute coronary syndrome (ACS). A 73-year-old man presented in the emergency room for non-ST-elevation ACS. Echocardiogram showed in a parasternal short axis view an abnormal diastolic flow inside the ventricular inferior wall. Angiography and CT confirmed the diagnosis of coronary fistula from the right coronary into the left ventricular cavity. A literature analysis with discussion about coronary fistulas classification and management was also performed.
Databáze: OpenAIRE