Ectasia coronarica destra asintomatica da verosimile fistola congenita con le sezioni cardiache di destra: riscontro occasionale in corso di accertamenti per l'idoneità al servizio nell'Esercito.

Coronary artery fistulas are a rare congenital anomaly of termination of the coronary arterial tree due to an abnormal communication between one or more coronary arteries and great vessels or a cardiac chamber. The incidence of coronary artery fistulas is low but with steady increase detection with the broad application of Trans Thoracic Echocardiography. The correct diagnosis requires a multi-diagnostic approach: conventional coronary angiography, multi-slice detector computed tomography, Cardiac Magnetic Resonance. The treatment strategy of coronary artery fistulas is still a controversial issue. A likely coronary artery fistulas between the right coronary artery and the right chambers of the heart in a 22-year-old male examined at the Military Clinical Centre in Milan before being admitted as a recruit in the Italian Army is reported. Trans Thoracic Echocardiography is a recommended diagnostic tool in the regular investigation and follow up of the applicants to serve the Army. [ABSTRACT FROM AUTHOR]