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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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2025-05-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5345 |
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| author | Paweł Święch Przemysław Jaźwiec Paweł Błaszkiewicz Andrzej Bazan |
| author_facet | Paweł Święch Przemysław Jaźwiec Paweł Błaszkiewicz Andrzej Bazan |
| author_sort | Paweł Święch |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-73a05461d893418fac5ab4272e8896f4 |
| institution | DOAJ |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-73a05461d893418fac5ab4272e8896f42025-08-20T03:19:25ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-05-0110.12890/2025_0053454880Fistula between the left anterior descending artery and the pulmonary trunkPaweł Święch0Przemysław Jaźwiec1Paweł Błaszkiewicz2Andrzej Bazan3Specialist Medical Center, Polanica Zdrój, PolandSpecialist Medical Center, Polanica Zdrój, Poland; Jan Mikulicz-Radecki University Hospital, Wrocław, PolandCardiology department, ZOZ Kłodzko, Kłodzko, PolandJan Mikulicz-Radecki University Hospital, Wrocław, PolandBackground: 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/5345fistulapulmonary trunkladleft anterior descending artery |
| spellingShingle | Paweł Święch Przemysław Jaźwiec Paweł Błaszkiewicz Andrzej Bazan Fistula between the left anterior descending artery and the pulmonary trunk European Journal of Case Reports in Internal Medicine fistula pulmonary trunk lad left anterior descending artery |
| title | Fistula between the left anterior descending artery and the pulmonary trunk |
| title_full | Fistula between the left anterior descending artery and the pulmonary trunk |
| title_fullStr | Fistula between the left anterior descending artery and the pulmonary trunk |
| title_full_unstemmed | Fistula between the left anterior descending artery and the pulmonary trunk |
| title_short | Fistula between the left anterior descending artery and the pulmonary trunk |
| title_sort | fistula between the left anterior descending artery and the pulmonary trunk |
| topic | fistula pulmonary trunk lad left anterior descending artery |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5345 |
| work_keys_str_mv | AT pawełswiech fistulabetweentheleftanteriordescendingarteryandthepulmonarytrunk AT przemysławjazwiec fistulabetweentheleftanteriordescendingarteryandthepulmonarytrunk AT pawełbłaszkiewicz fistulabetweentheleftanteriordescendingarteryandthepulmonarytrunk AT andrzejbazan fistulabetweentheleftanteriordescendingarteryandthepulmonarytrunk |