eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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2/2014
vol. 10
 
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Short communication
Functional assessment of a left coronary-pulmonary artery fistula by coronary flow reserve

Viktor Sasi
,
Attila Nemes
,
Tamás Forster
,
Imre Ungi

Postep Kardiol Inter 2014; 10, 2 (36): 141–143
DOI: https://doi.org/10.5114/pwki.2014.43526
Online publish date: 2014/06/26
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We report a 71-year-old man who presented with atypical chest pain. Coronary angiography did not reveal left main or proximal left anterior descending coronary artery stenosis, but a fistulous communication with a stronger tube-like fistula was present originating from the proximal left anterior descending coronary artery and emptying into the main pulmonary artery. Fractional flow reserve and coronary flow reserve measurements were performed to gain more data on the potential functional aspects of this fistula. With the present case, the importance of functional evaluation of these fistulas is demonstrated.
keywords:

coronary, fistula, flow, fractional, pulmonary artery, reserve
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