Abstract:CaseA 58-year-old man with post-infarction angina complicated by a congenital coronary-pulmonary artery fistula (CPAF) was referred for surgery. He had a stent placed in the left anterior descending artery (LAD) 3 months prior and was diagnosed with restenosis at the proximal site of the stent, where the fistula originated. No heart murmur was audible on the auscultation. CAG showed 90% stenosis of the proximal LAD and an aneurysmal fistula between the LAD and the main pulmonary artery (mPA) (Figure 1-a). Enha… Show more
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