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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Case Report

Coronary Cameral Fistula Disclosed by Echocardiography: A Case Report of Typical Findings and Literature Review

Author(s): Wan Khey Chan, Yi Yao Chang and Ai Hsien Li*

Volume 20, 2024

Published on: 14 April, 2023

Article ID: e150323214635 Pages: 5

DOI: 10.2174/1573405619666230315104901

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Abstract

Background: Coronary cameral fistula is a rare cardiovascular anomaly, and usually needs advanced image modalities, such as computerized tomography and/or angiography, to confirm its existence. A few reports in the literature have addressed the role of medical ultrasound in the diagnosis of this disease, without a comprehensive summary of all the valuable echocardiographic features in its diagnosis.

Case Presentation: Hereby, we presented an 80-year-old lady with exertional dyspnea and angina. We diagnosed coronary cameral fistula from the left anterior descending artery into the left ventricle by echocardiography with “intramyocardial vascular channel and the diastolic flow”, and “multiple diastolic flow jets into heart chamber from heart wall”. We confirmed the diagnosis with coronary angiography later. In the discussion, we make a comprehensive summary to conclude all the echocardiographic findings of this disease into 3 categories.

Conclusion: We believe the identification of those findings will prompt the early diagnosis of this rare anomaly.

Keywords: Coronary cameral fistula, Echocardiography, Ultrasonography, Congenital heart disease, Angina, Myocardium.

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