Doppler echocardiographic findings in coronary-pulmonary fistula.
We describe a patient with a coronary-pulmonary fistula who had a syncopal attack. He had also pectus excavatum. Doppler echocardiography revealed late diastolic flow in the left high parasternal region which was not caused by pulmonary insufficiency, but by the jet through the fistulous communication. Selective coronary angiography demonstrated the fistula between the left anterior descending artery and the pulmonary trunk.
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Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
D000328:Adult; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000175:diagnosis*; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis*; D015150:Echocardiography, Doppler; D006326:Heart Auscultation; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D013575:Syncope / Q000209:etiology