ArticleJACC. Case reports2025
Multiple Coronary Artery Fistulas and 3-Vessel Disease in an Elderly Patient With Unstable Angina.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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6 authors.
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Abstract
backgroundCoronary artery fistula (CAF) is an atypical vascular communication that drains into a cardiac chamber or vessel and is usually unrelated to atherosclerotic coronary artery disease (CAD). CASE SUMMARY: An elderly patient with high-risk unstable angina underwent coronary angiography, which revealed 3-vessel CAD and multiple CAFs. Medical treatment was elected. DISCUSSION: Multiple CAFs, especially a large right CAF draining into the left ventricle in the context of significant 3-vessel CAD in an elderly patient, represent a rare finding with an unusual presentation of unstable angina. This case highlights the diagnostic challenges and management considerations in such complex scenarios, enriching the limited available literature. TAKE-HOME MESSAGE: The co-occurrence of multiple CAFs with CAD creates a unique management challenge, requiring a tailored approach that extends beyond the current limited literature.
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