Coronary artery fistula presenting as unstable angina

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Coronary artery fistula presenting as unstable angina.

c t a A 74-year-old man, with a history of heavy smoking, presented with unstable angina (Figure 1). Dobutamine stress echocardiography showed ischemia in the right coronary artery territory. Coronary angiography revealed no obstructive epicardial disease in the left dominant circulation (Figure 2A); the right coronary artery (RCA) was a small caliber and tortuous vessel, with only minor athero...

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First Diagonal Coronary Artery: Left Ventricular Fistula Presenting as Unstable Angina

Coronary artery fistulae are characterized by communications between a coronary artery and a cardiac chamber or another vascular structure. They are usually congenital, but acquired forms may occur. Most patients are usually asymptomatic. However, some studies have emphasized that the incidence of symptoms and complications increases with age, particularly after the age of 20 (Liberthson et al....

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Coronary Artery Fistula Presenting as Unstable Angina Pectoris in Patients with Antiphospholipid Syndrome

The cardiovascular system is one of the primary targets in patients with antiphospholipid syndrome. The valves are the most frequently affected. Atherosclerosis and coronary thrombosis are also seen. The risk of acute coronary syndrome is 10 times higher in patients with APS. We present an APS patient case who was hospitalized with acute coronary syndrome and who was later found to have coronar...

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Aortic root abscess presenting as unstable angina due to extrinsic compression of the left coronary artery.

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[Dual coronary artery fistulas as a cause of unstable angina].

Coronary artery fistulas are a rare congenital coronary anomaly. Although often small and diagnosed by chance, they can cause a wide range of symptoms associated with myocardial ischemia, including sudden death. We present the case of a 63-year-old woman with cardiovascular risk factors of overweight, smoking, and high blood pressure. For several years, following moderate effort the patient had...

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ژورنال

عنوان ژورنال: Revista Portuguesa de Cardiologia

سال: 2013

ISSN: 0870-2551

DOI: 10.1016/j.repc.2012.06.013