Coronary Steal in a Patient With Apical Hypertrophic Cardiomyopathy: A Rare Case of Symptomatic Coronary Artery

Neil R Patel1, Sangeeta Prabhakar Bhat2, Shantanu Solanki3

  • 1Cardiology, The Wright Center for Graduate Medical Education, Scranton, USA.

Cureus
|January 7, 2021
PubMed

Insights

This case report details a rare instance of coronary artery fistulae causing a coronary steal phenomenon in a patient with apical hypertrophic cardiomyopathy. Surgical correction was successfully performed, highlighting a unique co-occurrence.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Case Reports

Background:

  • Coronary artery fistulae (CAF) are uncommon congenital or acquired abnormalities.
  • Coronary steal phenomenon occurs when blood is shunted away from the myocardium, leading to ischemia.
  • Apical hypertrophic cardiomyopathy (HCM) is a distinct form of HCM characterized by apical thickening.

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