DOI: 10.12890/2025_005345

Fistula between the left anterior descending artery and the pulmonary trunk

Authors

  • Paweł Święch Specialist Medical Center, Polanica Zdrój, Poland
  • Przemysław Jaźwiec Specialist Medical Center, Polanica Zdrój, Poland; Jan Mikulicz-Radecki University Hospital, Wrocław, Poland
  • Paweł Błaszkiewicz Cardiology department, ZOZ Kłodzko, Kłodzko, Poland
  • Andrzej Bazan Jan Mikulicz-Radecki University Hospital, Wrocław, Poland

andrzejbzn@gmail.com

Keywords

Fistula, pulmonary trunk, LAD, left anterior descending artery

Abstract

Background: Coronary artery fistulas are usually asymptomatic anomalies diagnosed most often incidentally during conventional coronary angiography or computed tomography angiography (CTA) of the coronary arteries.
Case report: We present the case of a 74-year-old woman with exertional dyspnoea, preserved left ventricular systolic function, no hemodynamically significant coronary artery stenosis, and a fistula between the anterior interventricular branch of the left anterior descending artery and the pulmonary trunk, identified by classic coronary angiography and CTA.
Conclusion: The growing prevalence of CTA examination of the coronary arteries in recent years has increased the recognition of coronary fistulas. Early diagnosis and appropriate management are essential in symptomatic patients.

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References

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Published

2025-05-16

Issue

Vol. 12 No. 6 (2025)

Categories

How to Cite

1.
Święch P, Jaźwiec P, Błaszkiewicz P, Bazan A. Fistula between the left anterior descending artery and the pulmonary trunk. EJCRIM [Internet]. 2025 May 16 [cited 2026 Nov. 3];12(6). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5345