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Coronary artery to pulmonary artery fistula

Heidar Dadkhah-Tirani1, Arsalan Salari, Shora Shafighnia

  • 1Department of Cardiology, Dr. Heshmet Hospital, Guilan University of Medical Sciences, Rasht, Iran.

The American Journal of Case Reports
|December 4, 2013
PubMed

Insights

A 69-year-old man with chest pain was diagnosed with a rare coronary artery fistula. Surgical intervention was chosen to alleviate symptoms and improve his quality of life.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery fistulas are abnormal connections between a coronary artery and a heart chamber or great vessel.
  • These anomalies bypass the myocardial capillary network and are often found incidentally during coronary angiography.
  • Symptoms vary based on fistula type, shunt severity, location, and co-existing cardiac conditions.

Purpose of the Study:

  • To report a case of a 69-year-old male with chest pain due to a coronary artery fistula.
  • To describe the diagnostic process and treatment of this rare condition.

Main Methods:

  • A 69-year-old male presented with chest pain and was evaluated using electrocardiography (ECG).
  • Coronary angiography identified a fistula from the left anterior descending (LAD) coronary artery to the main pulmonary artery.
  • The patient also had right coronary artery blockage and significant stenoses in the LAD and left circumflex artery (LCX).

Main Results:

  • The patient exhibited chest pain, sinus rhythm with ST depression on ECG.
  • Coronary angiography confirmed a coronary artery fistula originating from the LAD and draining into the pulmonary artery.
  • Significant coronary artery disease, including LAD and LCX stenosis and right coronary artery occlusion, was also identified.

Conclusions:

  • Surgical treatment was selected due to the complete occlusion of the right coronary artery.
  • The intervention aimed to relieve chest pain and enhance the patient's quality of life.
Abstract

Keywords:
angiographycoronary arteryelectrocardiogramfistulaleft anterior descending coronary arteryleft circumflex arterypulmonary artery

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