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

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Buccheri, D ; Pisano, c ; Piraino, D ; Cortese, B ; Dendramis, G ; Chirco, PR ; Balistreri, CR ; Andolina, G ; Argano, V ; Ruvolo, G (2015)
  • Publisher: Barcaray Publishing (Dubai, Hong Kong, London), C/0 T&F Group, The Maze Tower, Sheikh Zayed Road, PO Box 58531, Dubai, United Arab Emirates
  • Journal: (issn: 2410-2636, eissn: 2409-3424)
  • Related identifiers: doi: 10.17987/icfj.v4i0.116
  • Subject: treatment | coronary artery fistulas | RC666-701 | Diseases of the circulatory (Cardiovascular) system | Settore MED/23 - Chirurgia Cardiaca | effort angina | diagnosis | Medicine | coronary artery fistulas, chest pain, effort angina, clinical presentation, diagnosis, treatment. | Settore MED/05 - Patologia Clinica | R | Settore MED/11 - Malattie Dell'Apparato Cardiovascolare | clinical presentation | chest pain

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 exams.