Fistula between the left anterior descending artery and the pulmonary trunk
Background: Coronary artery fistulas are usually asymptomatic anomalies diagnosed most often incidentally during conventional coronary angiography or computed tomography angiography (CTA) of the coronary arteries. Case report: We present the case of a 74-year-old woman with exertional dyspnoea, pres...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SMC MEDIA SRL
2025-05-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5345 |
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| Summary: | Background: Coronary artery fistulas are usually asymptomatic anomalies diagnosed most often incidentally during conventional coronary angiography or computed tomography angiography (CTA) of the coronary arteries.
Case report: We present the case of a 74-year-old woman with exertional dyspnoea, preserved left ventricular systolic function, no hemodynamically significant coronary artery stenosis, and a fistula between the anterior interventricular branch of the left anterior descending artery and the pulmonary trunk, identified by classic coronary angiography and CTA.
Conclusion: The growing prevalence of CTA examination of the coronary arteries in recent years has increased the recognition of coronary fistulas. Early diagnosis and appropriate management are essential in symptomatic patients. |
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| ISSN: | 2284-2594 |