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A Continuous Murmur as the Only Clinical Sign for Complex Coronary Artery Fistulas Diagnosis

Tomoki Imaizumi1, Kohei Takata1,2, Amane Ike3

  • 1Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A patient with Brugada electrocardiography pattern and coronary artery fistulas was identified. This rare condition requires careful management due to potential complications.

Area of Science:

  • Cardiology
  • Clinical Medicine

Background:

  • Coronary artery fistula (CAF) is a rare anomaly.
  • CAFs can be congenital or acquired and may lead to significant complications over time.

Observation:

  • An asymptomatic individual presented with a Brugada electrocardiography pattern.
  • The patient was also diagnosed with coronary artery fistulas.

Findings:

  • The co-occurrence of Brugada pattern and coronary artery fistulas is uncommon.
  • Management strategies for this combined condition are not well-established.

Implications:

  • Further research is needed to understand the association between Brugada pattern and CAFs.
  • Developing a therapeutic consensus for managing patients with both conditions is crucial.

Keywords:
BA, bronchial arteryBrP, Brugada phenocopyBrS, Brugada syndromeCAF, coronary artery fistulaCAG, coronary angiographyCBF, coronary artery–to–bronchial artery fistulaCCTA, cardiac computed tomography angiographyECG, electrocardiographyIE, infectious endocarditisLAD, left anterior descending arteryLMT, left main trunkPT, pulmonary trunkTTE, transthoracic echocardiographycoronary vessel anomalyelectrocardiogrammurmur

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