Diagnosis of Coronary Artery Fistulas: Clinical Aspects and Brief Review of the Literature

Umesh M. Sharma; Ahmed F. Aslam; Tahir Tak

doi:10.1055/s-0033-1349166

International Journal of Angiology, Table of Contents

Int J Angiol 2013; 22(03): 189-192
DOI: 10.1055/s-0033-1349166

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diagnosis of Coronary Artery Fistulas: Clinical Aspects and Brief Review of the Literature

Umesh M. Sharma

¹Department of Hospital Medicine, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin

,

Ahmed F. Aslam

²Department of Cardiology, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin

,

Tahir Tak

²Department of Cardiology, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin

³Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota

› Author Affiliations

Abstract

An 86-year-old woman with history of hypertension, diabetes, hyperlipidemia, and coronary artery disease was admitted with new-onset congestive heart failure and pneumonia. She underwent coronary angiography after suffering a non-ST elevation myocardial infarction. There was severe coronary artery disease in addition to coronary artery–pulmonary fistulas involving proximal right coronary artery and a branch of left main coronary artery.

Coronary artery fistula (CAF) is an abnormal communication between one or more coronary arteries and great vessels or a cardiac chamber. We reviewed 15 cases of CAFs published in PubMed and studied the clinical features of CAFs.

Keywords

congestive heart failure - fistulas - cardiac catheterization - angiography - coronary arteries

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References

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