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May 4, 2009European Heart Journal - Cardiovascular ImagingOpen Access

A case of coronary cameral fistula

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Population

An 85-year-old woman presenting with breathlessness and atypical chest discomfort, diagnosed with multiple…

Design

Case_report

Follow-up

2 months

Authors

GPGareth J. PadfieldGolden Jubilee National Hospital

Discussion

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Implication

May support beta-blockade for symptom relief in coronary fistulae with hypertrophy; hypothesis-generating, requires confirmation before clinical adoption.

Structured PICO

P
Population
An 85-year-old woman presenting with breathlessness and atypical chest discomfort, diagnosed with multiple, diffuse coronary-left ventricular fistulae.
I
Intervention
Oral beta-blockade
O
Outcome
Improvement in symptomspatient reported

This case highlights that coronary fistulae can cause diagnostic confusion on echocardiography, particularly when myocardial hypertrophy and trabeculation are present, and may respond symptomatically to beta-blockade.

Cite This Study

Gareth J. Padfield (2009) studied this question.

synapsesocial.com/papers/6a72dcff6200647efb1ae6bahttps://doi.org/10.1093/ejechocard/jep049

Topics

Echocardiography
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management.1979 · 680 citations
  2. 2Coronary artery fistulas in adults: Incidence, angiographic characteristics, natural history1995 · 313 citations
  3. 3Generalized coronary arterio-systemic(left ventricular) fistula. Case report and review of literature.1986 · 27 citations
  4. 4Diffuse Bilateral Coronary Artery Fistulae Entering the Left Ventricle: A Case Confirmed Surgically A Case Report1978 · 8 citations