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

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 syn...

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Main Authors: Angelo Acitelli, Sabrina Bencivenga, Maria B. Giannico, Chiara Lanzillo, Luciano Maresca, Renata Petroni, Maria Penco, Leonardo Calò, Silvio Romano
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/5956806
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author Angelo Acitelli
Sabrina Bencivenga
Maria B. Giannico
Chiara Lanzillo
Luciano Maresca
Renata Petroni
Maria Penco
Leonardo Calò
Silvio Romano
author_facet Angelo Acitelli
Sabrina Bencivenga
Maria B. Giannico
Chiara Lanzillo
Luciano Maresca
Renata Petroni
Maria Penco
Leonardo Calò
Silvio Romano
author_sort Angelo Acitelli
collection DOAJ
description 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.
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institution Kabale University
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language English
publishDate 2019-01-01
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series Case Reports in Cardiology
spelling doaj-art-76fe06608e5e485a871293477c2e3dcd2025-02-03T05:51:54ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/59568065956806Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of LiteratureAngelo Acitelli0Sabrina Bencivenga1Maria B. Giannico2Chiara Lanzillo3Luciano Maresca4Renata Petroni5Maria Penco6Leonardo Calò7Silvio Romano8Cardiology, Department of Life, Health & Environmental Sciences, University of L’Aquila, ItalyCardiology, Department of Life, Health & Environmental Sciences, University of L’Aquila, ItalyDivision of Cardiology, Policlinico Casilino, Rome, ItalyDivision of Cardiology, Policlinico Casilino, Rome, ItalyDivision of Cardiology, Policlinico Casilino, Rome, ItalyCardiology, Department of Life, Health & Environmental Sciences, University of L’Aquila, ItalyCardiology, Department of Life, Health & Environmental Sciences, University of L’Aquila, ItalyDivision of Cardiology, Policlinico Casilino, Rome, ItalyCardiology, Department of Life, Health & Environmental Sciences, University of L’Aquila, ItalyCoronary 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.http://dx.doi.org/10.1155/2019/5956806
spellingShingle Angelo Acitelli
Sabrina Bencivenga
Maria B. Giannico
Chiara Lanzillo
Luciano Maresca
Renata Petroni
Maria Penco
Leonardo Calò
Silvio Romano
Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
Case Reports in Cardiology
title Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
title_full Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
title_fullStr Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
title_full_unstemmed Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
title_short Coronary Artery Fistula Diagnosed by Echocardiography during NSTEMI: Case Report and Review of Literature
title_sort coronary artery fistula diagnosed by echocardiography during nstemi case report and review of literature
url http://dx.doi.org/10.1155/2019/5956806
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