Doppler echocardiographic findings in coronary-pulmonary fistula

Int J Cardiol. 1989 Dec;25(3):343-6. doi: 10.1016/0167-5273(89)90227-1.


We describe a patient with a coronary-pulmonary fistula who had a syncopal attack. He had also pectus excavatum. Doppler echocardiography revealed late diastolic flow in the left high parasternal region which was not caused by pulmonary insufficiency, but by the jet through the fistulous communication. Selective coronary angiography demonstrated the fistula between the left anterior descending artery and the pulmonary trunk.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arterio-Arterial Fistula / complications
  • Arterio-Arterial Fistula / diagnosis*
  • Coronary Disease / complications
  • Coronary Disease / diagnosis*
  • Echocardiography, Doppler*
  • Heart Auscultation
  • Humans
  • Male
  • Pulmonary Artery*
  • Syncope / etiology