Dual Coronary-Pulmonary Fistula Firstly Found at Routine Doppler Echocardiogram.

Coronary anomaly coronary fistula doppler echocardiogram

Journal

Journal of cardiovascular echography
ISSN: 2211-4122
Titre abrégé: J Cardiovasc Echogr
Pays: India
ID NLM: 101562228

Informations de publication

Date de publication:
Historique:
entrez: 23 4 2019
pubmed: 23 4 2019
medline: 23 4 2019
Statut: ppublish

Résumé

Congenital coronary-pulmonary fistulas (CPFs) are defined as an abnormal direct communication between one or more coronary arteries, with a cardiac or thoracic structure bypassing the capillary network. We report the case of a 73-year-old male, with a history of hypertension, asymptomatic for angina and dyspnea, who was referred for routine clinical control. Echocardiogram unexpectedly showed the presence of diastolic flow from the pulmonary trunk in parasternal short-axis view. Pulsed-wave Doppler confirmed the presence of diastolic flow and displayed the typical coronary flow pattern. Coronary angiography hence showed the presence of dual CPFs originating from the second segment of the left anterior descending coronary and the right coronary arteries. Careful routine Doppler echocardiograph examination may raise the suspicion of CPF in case of otherwise unexplained symptoms and may represent a simple, easy, repeatable tool for the first suspected diagnosis and follow-up of CPFs.

Identifiants

pubmed: 31008035
doi: 10.4103/jcecho.jcecho_47_18
pii: JCE-29-23
pmc: PMC6450228
doi:

Types de publication

Case Reports

Langues

eng

Pagination

23-25

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Grazia Casavecchia (G)

Cardiology Department, University of Foggia, Foggia, Italy.

Stefano Zicchino (S)

Cardiology Department, University of Foggia, Foggia, Italy.

Matteo Gravina (M)

Cardiology Department, University of Foggia, Foggia, Italy.

Alessandro Martone (A)

Cardiology Department, Ospedali Riuniti, Bari, Italy.

Andrea Cuculo (A)

Cardiology Department, University of Foggia, Foggia, Italy.

Luca Macarini (L)

Cardiology Department, University of Foggia, Foggia, Italy.

Matteo Di Biase (M)

GVM Care and Research, Bari, Italy.

Natale Daniele Brunetti (ND)

Cardiology Department, University of Foggia, Foggia, Italy.

Classifications MeSH