Author/Authors :
Acitelli, Angelo Department of Life Health & Environmental Sciences - University of LAquila, Italy , Bencivenga, Sabrina Department of Life Health & Environmental Sciences - University of LAquila, Italy , Giannico, Maria B. Division of Cardiology, Policlinico Casilino, Rome, Italy , Lanzillo, Chiara Division of Cardiology, Policlinico Casilino, Rome, Italy , Maresca, Luciano Division of Cardiology, Policlinico Casilino, Rome, Italy , Petroni, Renata Department of Life Health & Environmental Sciences - University of LAquila, Italy , Penco, Maria Department of Life Health & Environmental Sciences - University of LAquila, Italy , Calò, Leonardo Division of Cardiology, Policlinico Casilino, Rome, Italy , Romano, Silvio Department of Life Health & Environmental Sciences - University of LAquila, Italy
Abstract :
Coronary artery fistulas are rare abnormal connections between a coronary artery and a cardiac chamber or a major vessel. Often,
they are asymptomatic and the diagnosis is accidental. The case we present is the incidental finding of a fistula displayed with
echocardiography during acute coronary syndrome (ACS). A 73-year-old man presented in the emergency room for non-STelevation ACS. Echocardiogram showed in a parasternal short axis view an abnormal diastolic flow inside the ventricular
inferior wall. Angiography and CT confirmed the diagnosis of coronary fistula from the right coronary into the left ventricular
cavity. A literature analysis with discussion about coronary fistulas classification and management was also performed.
