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- W2510291210 abstract "A 56-year-old woman with no medical history presented to the emergency department complaining of oppressive chest pain of three hours of duration triggered by walking. An electrocardiogram (ECG) performed at hospital admission showed ST-segment depression and T-wave inversion in left precordial and inferior leads. Serum troponin I levels were above the normal values. Non ST-segment elevation acute coronary syndrome (NSTEACS) was diagnosed and an invasive approach with a percutaneous coronary intervention was performed. No obstructive coronary lesions were observed. However a tortuous coronary fistula emerging from the left-anterior descending coronary artery to the pulmonary artery was observed. Coronary arterio-venous fistulas are present in 0.002% of the general population and in 0.25% of patients undergoing cardiac catheterization for any cause. Most of them are asymptomatic. Ischemic symptoms may develop but are infrequent in patients with no atherosclerotic disease. Un hombre de 56 años sin antecedentes médicos se presentó en el departamento de urgencias quejándose de dolor torácico opresivo de tres horas de duración desencadenado al caminar. El electrocardiograma (ECG) tomado al ingreso mostró depresión del segmento ST e inversión de las ondas T en derivaciones precordiales izquierdas e inferiores. Los niveles de troponina I sérica se encontraron arriba de los valores normales. Se diagnosticó síndrome coronario agudo sin elevación del segmento ST (SCACEST) y se realizó un abordaje invasivo mediante intervención coronaria percutánea. No se observaron lesiones coronarias obstructivas. Sin embargo, se observó una fístula coronaria tortuosa emergiendo de la arteria coronaria descendente anterior hacia la arteria pulmonar. Las fístulas arterio-venosas coronarias se encuentran presentes en 0.002% de la población general y en 0.25% de los paciente sometidos a cateterismo cardíaco por cualquier causa. Muchos de ellos son asintomáticos. Síntomas isquémicos se pueden desarrollar, pero son infrecuentes en pacientes sin enfermedad aterosclerosa." @default.
- W2510291210 created "2016-09-16" @default.
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- W2510291210 date "2017-01-01" @default.
- W2510291210 modified "2023-09-25" @default.
- W2510291210 title "Coronary arterio-venous fistula associated acute coronary syndrome: A case-report and review of literature" @default.
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- W2510291210 doi "https://doi.org/10.1016/j.hgmx.2016.08.002" @default.
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