A case of symptomatic coronary artery fistula
Gary Spektor1, Anil K Gehi, Barry Love
1Mount Sinai Medical Center, 1 Gustave L Levy Place, Box 1030, New York City, NY 10029, USA.
Background:
A 57-year-old man presented with dyspnea and presyncope on exertion. He had previously been diagnosed with hypertension, hypercholesterolemia and atrial fibrillation. A soft (grade II/VI), dynamic continuous murmur was noted in the mid precordium.
Investigations:
Electrocardiography, stress echocardiography and coronary angiography.
Diagnosis:
Right coronary artery to coronary sinus fistula with coronary steal, exertional ischemia and ventricular arrhythmia.
Management:
Coil embolization of coronary left ventricular fistula.
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