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Coronary artery steal secondary to coronary arteriovenous fistula

T E Theman, D R Crosby

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |May 1, 1981
    PubMed

    Insights

    Coronary arteriovenous fistula can cause angina due to a coronary artery steal phenomenon. This study demonstrates the hemodynamics of this condition using radionuclide angiography and outlines surgical techniques.

    Area of Science:

    • Cardiology
    • Vascular Surgery

    Background:

    • Coronary arteriovenous fistula (CAVF) in adults is occasionally linked to angina pectoris.
    • The underlying mechanism, specifically coronary artery steal, remains incompletely understood.

    Observation:

    • This study presents two adult cases of coronary artery fistula.
    • Radionuclide angiography was employed to investigate the hemodynamics of the fistula.

    Findings:

    • The hemodynamics of coronary artery fistula were studied, providing evidence for the coronary artery steal phenomenon.
    • Surgical techniques for managing CAVF were outlined.

    Implications:

    • Understanding the hemodynamics of CAVF is crucial for diagnosing and treating associated angina.
    • Intraoperative electrocardiographic monitoring is emphasized for surgical safety.

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