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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Hindawi Limited
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/5956806 |
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doaj-76fe06608e5e485a871293477c2e3dcd2020-11-25T01:02:13ZengHindawi LimitedCase 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 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Angelo Acitelli Sabrina Bencivenga Maria B. Giannico Chiara Lanzillo Luciano Maresca Renata Petroni Maria Penco Leonardo Calò Silvio Romano |
| 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 |
| 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 |
| title |
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_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_sort |
coronary artery fistula diagnosed by echocardiography during nstemi: case report and review of literature |
| publisher |
Hindawi Limited |
| series |
Case Reports in Cardiology |
| issn |
2090-6404 2090-6412 |
| publishDate |
2019-01-01 |
| 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. |
| url |
http://dx.doi.org/10.1155/2019/5956806 |
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