title: Multiple coronary-pulmonary fistulae involving all three coronary arteries: a case report.
abstract: Coronary pulmonary fistulae are rare cardiac anomalies. We present the case of a 46-year-old woman with multiple coronary-pulmonary fistulae involving all three coronary arteries. She presented with atypical chest pain and had no obstructive coronary lesion. SPECT thallium study demonstrated no perfusion defect. The fistulae were multiple but small with only a small left to right shunt (Qp:Qs = 1.2). The patient has remained well without intervention.
authors.affiliation: Department of Cardiology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
authors.forename: A D
authors.initials: AD
authors.lastname: Abhyankar
authors.forename: N S
authors.initials: NS
authors.lastname: Mok
authors.forename: G A
authors.initials: GA
authors.lastname: Helprin
authors.forename: L
authors.initials: L
authors.lastname: Pressley
mesh_terms: D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D015899:Tomography, Emission-Computed, Single-Photon