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Late-term Post-operative Recanalization of a Fistula between the Coronary Artery and Bronchial Vein

Omer Satıroğlu1, Turan Erdoğan2, Mehmet Bostan2

  • 1Department of Cardiology, School of Medicine, Rize University, Rize Üniversitesi Tıp Fakültesi, Kardiyoloji bölümü, 53100 Rize, Turkey. E: omersatiroglu@yahoo.com.

The American Heart Hospital Journal
|May 20, 2014
PubMed

Insights

A rare coronary artery fistula, a direct link between arteries and heart, was coincidentally found during angiography in a 54-year-old man experiencing myocardial ischemia. This finding highlights potential causes of coronary steal syndrome.

Area of Science:

  • Cardiology
  • Vascular Biology
  • Congenital Anomalies

Background:

  • Coronary artery fistulas are uncommon congenital abnormalities connecting coronary arteries to heart chambers or vessels.
  • These anomalies are frequently discovered incidentally during coronary angiography.
  • Coronary artery fistulas can lead to coronary steal syndrome, causing myocardial ischemia.

Purpose of the Study:

  • To report a case of myocardial ischemia caused by a coronary artery fistula.
  • To highlight the incidental detection of a recanalized fistula during diagnostic coronary angiography.

Main Methods:

  • Diagnostic coronary angiography was performed on a 54-year-old male patient presenting with myocardial ischemia.
  • The procedure identified a recanalized coronary artery fistula.

Main Results:

  • A recanalized coronary artery fistula was detected during coronary angiography.
  • The patient presented with symptoms of myocardial ischemia.

Conclusions:

  • Coronary artery fistulas, though rare, should be considered in the differential diagnosis of myocardial ischemia.
  • Coronary angiography is effective in identifying these anomalies, even when recanalized.

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