Bilateral Epicardial Coronary Microfistulas With Anomalous Deviation

This case contributes to the growing recognition of coronary microfistulas as a rare but clinically meaningful cause of type 2 myocardial infarction, emphasizing the diagnostic value of coronary angiography and reinforcing the importance of individualized conservative management in such diffuse presentations of fistulas.

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Publication Details

Journal
JACC Case Reports
Published
2026-01-29
DOI
https://doi.org/10.1016/j.jaccas.2025.106798
Primary Topic
Coronary Artery Anomalies
Type
article
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article

Bilateral Epicardial Coronary Microfistulas With Anomalous Deviation

Murilo Zomer Frasson, Natan Lucca Lima, Sofia Zilli Santos, Luís Cláudio Izidio Costa Júnior et al.
JACC Case Reports
Coronary Artery Anomalies
article

Bilateral Epicardial Coronary Microfistulas With Anomalous Deviation

Murilo Zomer Frasson, Natan Lucca Lima, Sofia Zilli Santos, Luís Cláudio Izidio Costa Júnior, Gabriel Pettenon Gubert, Bruna Magalhães Magota, Darlos Kelvin de Azevedo, João Cleriston da Silva Calheiros, João Maria Ruivo Antunes da Silva Alves, Marina Germano Gomes
article en

Abstract

This case contributes to the growing recognition of coronary microfistulas as a rare but clinically meaningful cause of type 2 myocardial infarction, emphasizing the diagnostic value of coronary angiography and reinforcing the importance of individualized conservative management in such diffuse presentations of fistulas.

JACC Case ReportsVol. 31(11)
Universidade Federal de Santa Catarina (BR), Instituto de Cardiologia de Santa Catarina (BR), Instituto Federal de Educação, Ciência e Tecnologia de Santa Catarina (BR), Universidade do Extremo Sul Catarinense (BR)
Good health and well-being
Openalex Percentile: Top 74%
Coronary Artery Anomalies
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