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Kardiologia Kielce
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Prywatny Gabinet Kardiologiczny

dr n. med. specjalista kardiologii i chorób wewnętrznych
Katarzyna Ciuraszkiewicz
Lekarz Kardiolog Kielce 
25-017 Kielce,     ul. Paderewskiego 4a/12,      tel. 532-263-133
e-mail: gabinet@kardiologia-kielce.pl


"Coronary arterial anomaly: coronary artery fistulae - prevalence, pathophysiology and clinical importance"
Anomalie tętnic wieńcowych pod postacią przetok wieńcowo-płucnych - częstość występowania, patofizjologia i znaczenie kliniczne. - Janion M., Wesołowska K., Ciuraszkiewicz K., Pigólak K., Gutkowski W. - Folia Cardiol. 2004, 11, 383-387. 


Coronary artery fistulae are the uncommon abnormality which can be congenital or acquired. Occurrence of clinical symptoms depends on the rate of hemodynamical dysfunction. Sudden death often occurs as the first symptom of this anomaly. Because of variety of signs and lack of established guidelines in such clinical situations, we present the case of 49-year-old female with coronary artery fistulae between left anterior descending coronary artery and main pulmonary artery and between right coronary artery and main pulmonary artery. The patient was admitted to hospital due to unstable angina pectoris. The diagnosis was established during coronary arteriography. The patient did not give her consent to percutaneous closure of the fistulae. Intensive treatment of hypertension and hyperlipidaemia as well as change in lifestyle caused regression of clinical symptoms. (Folia Cardiol. 2004; 11: 383–387)