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Coronary Artery Fistulas: A Hint to Diagnose and Manage

Dario Buccheri, Ennio Ciottari, and Paola Rosa Chirco

Coronary artery fistula (CAF) is a still a challenging entity, characterized by a connection between one or more coronary arteries and a cardiac chamber (coronary-cameral fistulae) or a major blood vessel (arterio-venous fistulae) when the myocardial capillary bed is bypassed. It represents about 0.2%-0.4% of all cardiac malformations and 14% of all coronary anomalies. CAF reports in the Literature are various according to age, clinical presentation and treatment. Recently, our group reported two emblematic cases with Literature review on this matter.

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