open access

Vol 67, No 3 (2009)
Other
Published online: 2009-03-24
Submitted: 2012-12-28
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Case reports
Acute coronary syndrome or steal phenomenon – a case of right coronary to right ventricle fistula

Michał Kidawa, Jan Z. Peruga, Jakub Foryś, Maria Krzemińska Pakuła, Jarosław D. Kasprzak
Kardiol Pol 2009;67(3):287-290.

open access

Vol 67, No 3 (2009)
Other
Published online: 2009-03-24
Submitted: 2012-12-28

Abstract

We report a case of 53-year-old male admitted to the hospital with severe chest pain and elevation of troponin I levels, who was transferred to our department for a coronary angiography. Contrast injection into the right coronary artery (RCA) demonstrated no evidence of coronary artery disease. However, a double outlet coronary artery fistula which drained into the right ventricle was visualised. With standard 2-dimensional echocardiographic imaging abnormal flow was detected in the inflow part of the right ventricular free wall. Three-dimensional colour Doppler imaging clearly demonstrated the presence of double outlet RCA – right ventricle coronary fistula with sufficient quality.

Abstract

We report a case of 53-year-old male admitted to the hospital with severe chest pain and elevation of troponin I levels, who was transferred to our department for a coronary angiography. Contrast injection into the right coronary artery (RCA) demonstrated no evidence of coronary artery disease. However, a double outlet coronary artery fistula which drained into the right ventricle was visualised. With standard 2-dimensional echocardiographic imaging abnormal flow was detected in the inflow part of the right ventricular free wall. Three-dimensional colour Doppler imaging clearly demonstrated the presence of double outlet RCA – right ventricle coronary fistula with sufficient quality.
Get Citation

Keywords

coronary artery fistula; myocardial ischaemia; 3D echocardiography

About this article
Title

Case reports
Acute coronary syndrome or steal phenomenon – a case of right coronary to right ventricle fistula

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 3 (2009)

Pages

287-290

Published online

2009-03-24

Bibliographic record

Kardiol Pol 2009;67(3):287-290.

Keywords

coronary artery fistula
myocardial ischaemia
3D echocardiography

Authors

Michał Kidawa
Jan Z. Peruga
Jakub Foryś
Maria Krzemińska Pakuła
Jarosław D. Kasprzak

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