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"Congenital" coronary arteriovenous malformations: are they truly congenital?
1Cardiology Department, Hadassah University Hospital, Jerusalem, Israel.
Insights
This case report highlights a patient with coronary artery disease who developed an arteriovenous malformation. This finding challenges the notion that all arteriovenous malformations are congenital, suggesting some may be acquired.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Obstructive coronary artery disease is a significant cause of ischemic chest pain.
- Arteriovenous malformations (AVMs) are typically considered congenital abnormalities.
Abstract:
We report a patient with ischemic chest pain due to obstructive coronary artery disease. The patient underwent a second cardiac catheterization 2 years later that revealed progression of the coronary disease and the appearance of a new arteriovenous malformation. Unless a prior angiogram was available, this malformation would have been classified as congenital. This case report raises the question of whether all congenital arteriovenous malformations are truly congenital.