[A fistula between the coronary artery and peripheral branches of the pulmonary artery: a case report].
Coronary artery fistulas are occasionally found in patients who undergo a coronary angiography and they may involve any epicardial coronary artery; the natural history in asymptomatic adult patients is unknown. Besides the invasive diagnosis with cardiac catheterization, it is possible to detect significant coronary fistulas also with different non-invasive methods, but they need the presence of shunt of enough size. Therapeutic options can be surgical or percutaneous. The demonstration of a communication between the coronary and distal tract of the pulmonary artery is difficult to explain with the embryogenic theory. We report the case of a patient with aortic stenosis and a shunt between the distal tract of the left pulmonary artery and the circumflex coronary artery.
Daniotti
Alessandro
A
UO di Cardiologia, Presidio Ospedaliero Carretta, Montebelluna, TV. aldaniotti@his.it
Zanuttini
Davide
D
Panfili
Marco
M
Neri
Gianfilippo
G
Chioin
Raffaello
R
D000368:Aged; D000369:Aged, 80 and over; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004452:Echocardiography; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging