A Case of Acquired Coronary-Cameral Fistulae.
- Author:
Jem Ma AHN
1
;
Jae Min LEE
;
Young Jae HWANG
;
Young Ho SEO
;
Yong Hyun KIM
;
Jeong Cheon AHN
;
Woo Hyuk SONG
Author Information
1. Division of Cardiology, Department of Internal Medicine, Korea University Asan Hospital, Ansan, Korea. jem80@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary vessels;
Fistula;
Ischemia
- MeSH:
Angiography;
Arteries;
Cardiology;
Chest Pain;
Constriction, Pathologic;
Coronary Angiography;
Coronary Vessels;
Fistula;
Follow-Up Studies;
Heart Ventricles;
Ischemia;
Myocardial Infarction;
Percutaneous Coronary Intervention
- From:Korean Journal of Medicine
2013;84(1):91-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a rare case of acquired multiple coronary-cameral fistulae. A 46-year-old man presented to the cardiology department clinic complaining of recently aggravated exertional chest pain. He had been treated 10 years ago for an acute ST segment elevation myocardial infarction (STEMI) with percutaneous coronary intervention (PCI). During revascularization, diffuse multiple fistulae from the left anterior descending (LAD) artery to the left ventricle (LV) had been observed. The current chest pain was evaluated by elective coronary angiography but no significant stenosis was observed. However, newly developed diffuse fistulae from the distal right coronary artery (RCA) to LV were found during angiography, as well as LAD-LV coronary fistulae. Multiple coronary-cameral fistulae were thought to be causing chest pain. A beta-blocker was prescribed and, after 3 months of follow-up, exertional chest pain had subsided without further complication.
