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Case report: Multimodal imaging diagnosis of a giant coronary artery fistula: A report of two cases.


ABSTRACT: Being a very rare cardiac disease, most cases of coronary artery fistula (CAF) are genetic. Complications such as coronary steal syndrome, myocardial infarction, heart failure, or tamponade can manifest following the abnormal communication that the fistula creates between the coronary arteries and cardiac chambers or major vessels and the subsequent shunt. Most CAFs are small and asymptomatic, making diagnosis difficult. In symptomatic patients, the initial diagnostic workup is generally made with chest radiography and electrocardiography. Other imaging modalities have also been suggested to improve diagnostic accuracy. Cardiac catheterization and coronary angiography are currently the gold standard for diagnosis and planning the intervention, as they can recognize the quantum of the shunt

SUBMITTER: Sharifkazemi M 

PROVIDER: S-EPMC9644096 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature