Advanced atrioventricular block and left bundle branch block in a patient with coronary artery fistula
Ryohei Ono1, Sho Okada2, Mari Kitagawa2
1Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan ryohei_ono_0820@yahoo.co.jp.
Insights
Coronary artery fistulas are rare abnormal heart vessels. This case highlights their infrequent association with atrioventricular conduction abnormalities, emphasizing the need for awareness in clinical practice.
Area of Science:
- Cardiology
- Vascular Medicine
- Electrophysiology
Background:
- Coronary artery fistulas (CAFs) are uncommon vascular anomalies.
- Their association with atrioventricular (AV) conduction abnormalities is rare.
- This study focuses on a specific case and literature review.
Abstract:
Coronary artery fistulas are abnormal vascular conduits, rarely related to atrioventricular conduction abnormalities. We report the case of a 52-year-old woman who presented with dyspnoea on exertion. Her ECG revealed advanced atrioventricular block and left bundle branch block. CT scans confirmed two fistulas, from the conus branch of right coronary artery and from the left anterior descending coronary artery, into the pulmonary artery. The patient underwent pacemaker implantation. To date, only nine patients with different degrees of heart blocks associated with coronary artery fistulas have been reported. Herein, we review and summarise previously reported cases of different degrees of heart blocks associated with coronary artery fistulas.
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