Coronary-to-bronchial artery fistula in a patient with angina

Abstract Coronary-to-bronchial artery fistulae are the most common found in adulthood and have often been associated with bronchiectasis and other abnormalities of pulmonary parenchyma. In this study we describe an unusual case in which circumflex coronary artery-to-left bronchial artery fistula was...

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Published inJournal of cardiology cases Vol. 7; no. 2; pp. e45 - e47
Main Authors Galli, Elena, MD, Rizza, Antonio, MD, Remoli, Ettore, MD, Tognarelli, Andrea, MD, Palmieri, Cataldo, MD, Chiappino, Dante, MD, Berti, Sergio, MD
Format Journal Article
LanguageEnglish
Published Japan Elsevier Ltd 01.02.2013
Japanese College of Cardiology
Subjects
Aneurysm
Angina
Cardiovascular
Case Report
Coronary artery fistula
Coronary artery fistula
Aneurysm
Angina
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Summary:Abstract Coronary-to-bronchial artery fistulae are the most common found in adulthood and have often been associated with bronchiectasis and other abnormalities of pulmonary parenchyma. In this study we describe an unusual case in which circumflex coronary artery-to-left bronchial artery fistula was associated with the presence of extensive aneurysmatic dilatation of thoracic arteries. < Learning objective : This report deals with the case of a coronary-to-bronchial artery fistula (CAF) as the cause of atypical angina in a patient with normal coronary arteries. The concomitant finding of aneurysmatic dilatation of thoracic arteries controindicated an invasive approach. Medical therapy with vasodilators and anti-anginal drugs was soon started proving to be efficacious in symptoms relief.>
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These two authors equally contributed to the work.
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2012.10.007