Multiple coronary-pulmonary fistulae involving all three coronary arteries: a case report

Int J Cardiol. 1996 Dec 6;57(2):181-3. doi: 10.1016/s0167-5273(96)02807-0.

Abstract

Coronary pulmonary fistulae are rare cardiac anomalies. We present the case of a 46-year-old woman with multiple coronary-pulmonary fistulae involving all three coronary arteries. She presented with atypical chest pain and had no obstructive coronary lesion. SPECT thallium study demonstrated no perfusion defect. The fistulae were multiple but small with only a small left to right shunt (Qp:Qs = 1.2). The patient has remained well without intervention.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Arterio-Arterial Fistula / diagnosis*
  • Arterio-Arterial Fistula / diagnostic imaging
  • Arterio-Arterial Fistula / pathology
  • Chest Pain / diagnosis
  • Chest Pain / etiology
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / pathology
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Exercise Test
  • Female
  • Humans
  • Middle Aged
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / diagnostic imaging
  • Tomography, Emission-Computed, Single-Photon