Acute coronary syndrome or steal phenomenon - a case of right coronary to right ventricle fistula.
We report a case of 53-year-old male admitted to the hospital with severe chest pain and elevation of troponin I levels, who was transferred to our department for a coronary angiography. Contrast injection into the right coronary artery (RCA) demonstrated no evidence of coronary artery disease. However, a double outlet coronary artery fistula which drained into the right ventricle was visualised. With standard 2-dimensional echocardiographic imaging abnormal flow was detected in the inflow part of the right ventricular free wall. Three-dimensional colour Doppler imaging clearly demonstrated the presence of double outlet RCA - right ventricle coronary fistula with sufficient quality.
2nd Chair and Institute of Cardiology, Medical University of Łódź, Łódź, Poland. mkidawa@wp.pl
Michał
M
Kidawa
Jan Z
JZ
Peruga
Jakub
J
Foryś
Maria
M
Krzemińska-Pakuła
Jarosław D
JD
Kasprzak
D000789:Angina, Unstable / Q000209:etiology; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D015150:Echocardiography, Doppler; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D008875:Middle Aged