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

Tomoki Imaizumi, MD; Kohei Takata, MD, PhD; Amane Ike, MD, PhD; Yoshiaki Idemoto, MD, PhD; Yuhei Shiga, MD, PhD; Makoto Sugihara, MD, PhD; Akira Matsunaga, MD, PhD; Shin-ichiro Miura, MD, PhD

JACC: Case Reports (May 2021)

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

Tomoki Imaizumi, MD,
Kohei Takata, MD, PhD,
Amane Ike, MD, PhD,
Yoshiaki Idemoto, MD, PhD,
Yuhei Shiga, MD, PhD,
Makoto Sugihara, MD, PhD,
Akira Matsunaga, MD, PhD,
Shin-ichiro Miura, MD, PhD

Affiliations

Tomoki Imaizumi, MD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
Kohei Takata, MD, PhD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan; Department of Laboratory Medicine, Fukuoka University Hospital, Fukuoka, Japan; Address for correspondence: Dr. Kohei Takata, Department of Cardiology, Fukuoka University Hospital, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Amane Ike, MD, PhD: Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Chikushino, Japan
Yoshiaki Idemoto, MD, PhD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
Yuhei Shiga, MD, PhD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
Makoto Sugihara, MD, PhD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan
Akira Matsunaga, MD, PhD: Department of Laboratory Medicine, Fukuoka University Hospital, Fukuoka, Japan
Shin-ichiro Miura, MD, PhD: Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan; Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka, Japan

Journal volume & issue: Vol. 3, no. 5
pp. 740 – 744

Abstract

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An asymptomatic patient presented at our hospital exhibiting a Brugada electrocardiography pattern with coronary artery fistulas. Coronary artery fistula is a congenital or acquired rare abnormal condition with increased symptoms and complications over time. In the absence of the therapeutic consensus, we discuss the association and management for this condition. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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