A Continuous Murmur as the Only Clinical Sign for Complex Coronary Artery Fistulas Diagnosis

Tomoki Imaizumi; Kohei Takata; Amane Ike; Yoshiaki Idemoto; Yuhei Shiga; Makoto Sugihara; Akira Matsunaga; Shin-Ichiro Miura

doi:10.1016/j.jaccas.2021.03.007

A Continuous Murmur as the Only Clinical Sign for Complex Coronary Artery Fistulas Diagnosis

JACC Case Rep. 2021 May 5;3(5):740-744. doi: 10.1016/j.jaccas.2021.03.007. eCollection 2021 May.

Authors

Tomoki Imaizumi¹, Kohei Takata^{1

2}, Amane Ike³, Yoshiaki Idemoto¹, Yuhei Shiga¹, Makoto Sugihara¹, Akira Matsunaga², Shin-Ichiro Miura^{1

4}

Affiliations

¹ Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
² Department of Laboratory Medicine, Fukuoka University Hospital, Fukuoka, Japan.
³ Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan.
⁴ Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka, Japan.

Abstract

An asymptomatic patient presented at our hospital exhibiting a Brugada electrocardiography pattern with coronary artery fistulas. Coronary artery fistula is a congenital or acquired rare abnormal condition with increased symptoms and complications over time. In the absence of the therapeutic consensus, we discuss the association and management for this condition. (Level of Difficulty: Advanced.).

Keywords: BA, bronchial artery; BrP, Brugada phenocopy; BrS, Brugada syndrome; CAF, coronary artery fistula; CAG, coronary angiography; CBF, coronary artery–to–bronchial artery fistula; CCTA, cardiac computed tomography angiography; ECG, electrocardiography; IE, infectious endocarditis; LAD, left anterior descending artery; LMT, left main trunk; PT, pulmonary trunk; TTE, transthoracic echocardiography; coronary vessel anomaly; electrocardiogram; murmur.

Publication types

Case Reports