Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris

Congenital coronary artery-left ventricular multiple microfistulas (CA-LVMMFs) are rare anomalies in adults. They are more often found in female patients, and they usually originate from the distal segments of the coronary arteries, but they can originate from a proximal segments of a coronary arter...

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Main Authors: Jasna Čerkez Habek, Tea Friščić, Jozica Šikić, Marko Perčić, Dean Strinić, Daria Ljubas Perčić
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2022/9372295
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author Jasna Čerkez Habek
Tea Friščić
Jozica Šikić
Marko Perčić
Dean Strinić
Daria Ljubas Perčić
author_facet Jasna Čerkez Habek
Tea Friščić
Jozica Šikić
Marko Perčić
Dean Strinić
Daria Ljubas Perčić
author_sort Jasna Čerkez Habek
collection DOAJ
description Congenital coronary artery-left ventricular multiple microfistulas (CA-LVMMFs) are rare anomalies in adults. They are more often found in female patients, and they usually originate from the distal segments of the coronary arteries, but they can originate from a proximal segments of a coronary arteries, and these patients are likely to be identified and treated in the pediatric age group. They are mostly asymptomatic. When symptoms and complications occur, they include angina, myocardial infarction, atrial heart failure, arrhythmias, and endocarditis. The management of CA-LVMMFs is controversial, but it is generally agreed that conservative medical management is the primary treatment of choice. Our case describes a rare form of CA-LVMMFs draining into the left ventricle in a female patient presenting with fatigue, atypical anginal symptoms, atrial fibrillation, and premature ventricular complexes, without concomitant obstructive coronary artery disease.
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series Case Reports in Cardiology
spelling doaj-art-2dbcf1b983f84c25bd9fd61ad328e3b22025-02-03T06:13:36ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/9372295Multiple Coronary Fistulas as a Rare Cause of Stable Angina PectorisJasna Čerkez Habek0Tea Friščić1Jozica Šikić2Marko Perčić3Dean Strinić4Daria Ljubas Perčić5Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of NeonatologyCongenital coronary artery-left ventricular multiple microfistulas (CA-LVMMFs) are rare anomalies in adults. They are more often found in female patients, and they usually originate from the distal segments of the coronary arteries, but they can originate from a proximal segments of a coronary arteries, and these patients are likely to be identified and treated in the pediatric age group. They are mostly asymptomatic. When symptoms and complications occur, they include angina, myocardial infarction, atrial heart failure, arrhythmias, and endocarditis. The management of CA-LVMMFs is controversial, but it is generally agreed that conservative medical management is the primary treatment of choice. Our case describes a rare form of CA-LVMMFs draining into the left ventricle in a female patient presenting with fatigue, atypical anginal symptoms, atrial fibrillation, and premature ventricular complexes, without concomitant obstructive coronary artery disease.http://dx.doi.org/10.1155/2022/9372295
spellingShingle Jasna Čerkez Habek
Tea Friščić
Jozica Šikić
Marko Perčić
Dean Strinić
Daria Ljubas Perčić
Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
Case Reports in Cardiology
title Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
title_full Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
title_fullStr Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
title_full_unstemmed Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
title_short Multiple Coronary Fistulas as a Rare Cause of Stable Angina Pectoris
title_sort multiple coronary fistulas as a rare cause of stable angina pectoris
url http://dx.doi.org/10.1155/2022/9372295
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