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Acquired left coronary artery fistula draining to the cardiac vein system after acute myocardial infarction revealed by CT scan

  • Salvatore Cassese
    Affiliations
    Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy
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  • Plinio Cirillo
    Correspondence
    Corresponding author. Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy. Tel.: +39 81 7462216; fax: +39 81 7462223.
    Affiliations
    Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy
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  • Santo Dellegrottaglie
    Affiliations
    Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy
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  • Federico Piscione
    Affiliations
    Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy
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  • Massimo Chiariello
    Affiliations
    Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, “Federico II” University of Naples, 80131 Naples, Italy
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Published:September 30, 2010DOI:https://doi.org/10.1016/j.clinimag.2010.08.012

      Abstract

      Coronary artery fistula (CAF) is a congenital condition characterized by a pathological communication between a coronary artery and a systemic vein or one of the cardiac chambers. Iatrogenic CAFs were reported to develop secondary to the rupture of coronary aneurysm. Instances of acquired CAF draining into the cardiac chambers have been described after acute myocardial infarction. Angiography is the gold standard in diagnosing CAF. We describe the case of a patient who developed a fistula draining into the middle cardiac vein on the posterior interventricular sulcus, after acute myocardial infarction, revealed by CT scan.

      Keywords

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