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CALOGERA PISANO

Coronary artery fistulas: symptoms may not correlate to size. An emblematic case and literature review

  • Authors: Buccheri, D; Pisano, c; Piraino, D; Cortese, B; Dendramis, G; Chirco, PR; Balistreri, CR; Andolina, G; Argano, V; Ruvolo, G
  • Publication year: 2015
  • Type: Articolo in rivista (Articolo in rivista)
  • Key words: coronary artery fistulas, chest pain, effort angina, clinical presentation, diagnosis, treatment.
  • OA Link: http://hdl.handle.net/10447/174572

Abstract

Fistulous communication of coronary with pulmonary arteries in the adults is a common type of coronary artery fistula (CAF)1–3. In most reported cases, the fistula usually arises from the proximal left and/or right coronary arteries via the anterior conal branches that connect to the anterior wall of the main pulmonary artery. These anteriorly located abnormal communications are usually asymptomatic and are incidentally found during an angiography of the coronary arteries in 0.2–0.3% of the exams4.