Coronary surprise: Angina as manifestation of a coronary-pulmonary fistula

Ana Díaz-Montes; Kenny Buitrago-Toro; John Correa-Aldana; Silvana Jiménez-Salazar; Karent Tinjacá-Montaño; Rafael Álvarez-Rosero

2022, Number 1

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Med Int Mex 2022; 38 (1)

Coronary surprise: Angina as manifestation of a coronary-pulmonary fistula

Díaz-Montes A, Buitrago-Toro K, Correa-Aldana J, Jiménez-Salazar S, Tinjacá-Montaño K, Álvarez-Rosero R

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Language: Spanish
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Page: 198-202
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ABSTRACT

Background: Coronary heart disease in patients without comorbidities should always raise suspicion of additional conditions that favor these events since it is usually not dependent on atherosclerotic disease.
Clinic case:A 56-year-old female patient presented to the emergency department for chest pain with elevation of biomarkers of myocardial injury. A coronary arteriography was performed identifying a coronary arterial fistula, which produced coronary steal and angina. Endovascular correction of the defect was achieved successfully with clinical improvement.
Conclusions: Coronary fistulas are rare findings in coronary angiography procedures. Patients mainly present with angina or decompensated heart failure. Optimal early corrections improve outcomes.