Congenital Coronary Arterial Fistula

Perloff, Joseph K.; Marelli, Ariane J.

doi:10.1016/b978-1-4377-1618-4.00029-8

Cited by 1 publication

(1 citation statement)

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“…A coronary to pulmonary artery fistula may result from the persistence of one or more of the pulmonary arterial enlargements, hence the term accessory coronary artery. The relatively high incidence of bilateral CAFs to the pulmonary artery is in accord with this theory 14. The clinical importance of CAF depends upon the amount of blood traversing the communication and the cardiac chamber or the great vessel into which the fistula drains.…”

Section: Discussionmentioning

confidence: 72%

The primary percutaneous coronary intervention for acute anterior myocardial infarction in a middle-aged male patient with bilateral coronary artery to pulmonary artery fistulas

et al. 2012

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SummaryA 38-year-old man admitted to emergency department with 2 h of typical substernal chest pain, shortness of breath and nausea. The ECG revealed sinus rhythm with a 3 mm ST elevation in precordial leads V1-V6. The coronary angiography revealed acute total occlusion in left anterior descending artery (LAD) with normal circumflex and right coronary artery (RCA) along with bilateral fistulas arising from the proximal LAD and ostial RCA draining into the main pulmonary artery. Therefore, primary percutaneous coronary intervention and bare metal stent implantation was performed to culprit LAD lesion. The electrocardiographically gated 64-slice multidetector-row CT showed two large, tortuous abnormal vessels which arose from the both ostial part of the RCA and LAD draining into the main pulmonary artery. We report an unusual case of bilateral coronary artery to pulmonary artery fistulas leading to acute anterior myocardial infarction in a middle-aged male patient. BACKGROUND

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Section: Discussionmentioning

confidence: 72%