Acitelli Angelo, Bencivenga Sabrina, Giannico Maria B, Lanzillo Chiara, Maresca Luciano, Petroni Renata, Penco Maria, Calò Leonardo, Romano Silvio
Cardiology, Department of Life, Health & Environmental Sciences, University of L'Aquila, Italy.
Division of Cardiology, Policlinico Casilino, Rome, Italy.
Case Rep Cardiol. 2019 Aug 14;2019:5956806. doi: 10.1155/2019/5956806. eCollection 2019.
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-ST-elevation 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.
冠状动脉瘘是冠状动脉与心腔或大血管之间罕见的异常连接。通常，它们没有症状，诊断是偶然发现的。我们呈现的病例是在急性冠状动脉综合征（ACS）期间经超声心动图偶然发现的瘘管。一名73岁男性因非ST段抬高型ACS就诊于急诊室。超声心动图在胸骨旁短轴视图中显示心室下壁有异常舒张期血流。血管造影和CT证实了从右冠状动脉到左心室腔的冠状动脉瘘的诊断。还进行了关于冠状动脉瘘分类和管理的文献分析及讨论。
