Case report of an acute coronary syndrome in a patient with artery coronary fistulae

BACKGROUNDCoronary artery fistulae are rare vascular anomalies. Although they are usually asymptomatic, the presence of symptoms might present a challenge in the diagnostic and therapeutic management. CASE SUMMARYWe present a patient with chest pain whose initial tests were normal, but coronary arte...

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Bibliographic Details
Published in:European heart journal. Case reports 2021, Vol.5 (11), p.ytab323-ytab323
Main Authors: Romero-Castro, María José, Unzué, Leire, García, Eulogio, Fernández-Friera, Leticia
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDCoronary artery fistulae are rare vascular anomalies. Although they are usually asymptomatic, the presence of symptoms might present a challenge in the diagnostic and therapeutic management. CASE SUMMARYWe present a patient with chest pain whose initial tests were normal, but coronary artery fistulae were found. Single-photon emission computed tomography test showed ischaemia due to coronary artery fistulae and cardiac computed tomography helped in the planning of the percutaneous closure. DISCUSSIONCCT is emerging as an optimal non-invasive tool to characterise the morphology and course of coronary artery fistulae and may be essential for its accurate diagnosis and planning for percutaneous closure.
ISSN:2514-2119
DOI:10.1093/ehjcr/ytab323