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Case Series
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| Coronary pulmonary fistula: A case series | ||||||
| Maarten Van Caenegem1, Hans Vandekerckhove2 | ||||||
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1MD, Department of Cardiology, Ghent University Hospital, Ghent, Belgium.
2MD, Department of Cardiology, Sint Lucas General Hospital, Ghent, Belgium. | ||||||
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| How to cite this article |
| Van Caenegem M, Vandekerckhove H. Coronary pulmonary fistula: A case series. Int J Case Rep Imag 2016;7(5):292–295. |
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Abstract
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Introduction:
Coronary artery fistulas (CAF) are congenital or acquired coronary artery anomalies, circumventing the myocardial capillary network by directly draining the blood into a great vessel, cardiac chamber, or other vascular structure. Clinical manifestations vary considerably with presentation of dyspnea, congestive heart failure, angina, endocarditis, arrhythmias, or myocardial infarction.
Case Report: We report two cases, one between the right coronary artery (RCA) and the pulmonary artery, whereas the other between the circumflex artery (RCX) and the pulmonary artery. We describe our diagnostic methodology and analyze literature on the epidemiology, the diagnostic workout and the treatment possibilities. Conclusion: Despite the role of non-invasive imaging for diagnosis and identification of the location of CAF including the origin and insertion of the recipient vessel, cardiac catheterization and coronary angiography remain the preliminary diagnostic tools for the precise allocation of coronary anatomy, for assessment of its hemodynamic importance, and to show other structural abnormalities. | |
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Keywords:
Coronary artery fistula, Coronarography, Chest pain, Emotional stress, Pulmonary fistula, Sleep apnea syndrome
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Author Contributions:
Maarten Van Caenegem – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Hans Vandekerckhove – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Maarten Van Caenegem et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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