Coronary Artery Fistula Causing Acute Myocardial Infarction and Right Ventricle Thrombus

Area of Science:

• Cardiology
• Congenital Heart Disease
• Vascular Anomalies

Background:

• Coronary artery fistula (CAF) is a rare congenital anomaly.
• Most cases are asymptomatic, but symptomatic cases can present with aneurysms and thromboembolic events.

Observation:

• This report details a rare case of CAF.
• The patient presented with an inferior acute myocardial infarction.
• Thrombus formation was observed in the right ventricle.

Findings:

• The case illustrates a complex presentation of coronary artery fistula.
• Complications included inferior acute myocardial infarction and right ventricular thrombus formation.
• This highlights the potential severity of symptomatic CAF.

Implications:

• This case underscores the importance of considering CAF in the differential diagnosis of myocardial infarction, especially in younger patients or those with atypical presentations.
• Early recognition and management of CAF complications are crucial for preventing adverse outcomes.
• Further research into the pathophysiology and optimal management strategies for symptomatic CAF is warranted.