Abstract

RODRIGUEZ SILVESTRE, Yaosca L; ALVES DO COUTO, Antonio; PESSUTI, Fernando  and  WEINERT MENEGAZ, Mauro H. Fístula between the anterior descending coronary artery and the pulmonary artery trunk: Clinical case report. Gac Med Bol [online]. 2015, vol.38, n.2, pp.55-57. ISSN 1012-2966.

Abstract The first coronary artery fístula (FAC) was reported in 1865 by Krause. It is an anomaly with incidence less than 1% in angiographic studies. Characterized by abnormal communication between a coronary artery and a cardiac chamber or great vessels.They are usually congenital with silent clinical, but it can present as an obstructive coronary disease although the coronary arteries remain free of obstruction.The diagnosis is usually made incidentally during coronary angiography. We introduce the clinical case of 59 years oíd woman who presented an event of sudden oppressive chest pain, accompanied by fatigue at rest. Diagnosed and treated as an angina pectoris. The coronary cineangiography showed a coronary free of atherosclerosis, demonstrating the presence of a fístula between the anterior descending artery and the main pulmonary artery.

Keywords : fístula acquired coronary artery; coronary artery disease; coronary anomaly.

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