Premium
Coronary artery fistula detected with transesophageal echocardiography: An unexpected cause of pulmonary hypertension and chest pain
Author(s) -
Erdogan Emrah,
Cap Murat,
Topel Cagdas,
Efe Suleyman C.,
Gurbuz Ahmet S.
Publication year - 2018
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14162
Subject(s) - medicine , chest pain , cardiology , asymptomatic , pulmonary artery , fistula , radiology , artery , pulmonary hypertension
Coronary artery fistulae are congenital cardiac abnormalities characterized by an abnormal communication between a coronary artery and a cardiac chamber, systemic or pulmonary vessel. Most of the cases are asymptomatic and are discovered incidentally during an angiography. We describe a rare case of a right coronary artery fistula draining to the right atrium, manifesting in chest pain and pulmonary arterial hypertension ( PAH ). The fistula was detected on transesophageal echocardiography during the workup for PAH .