A Case of Acquired Coronary Artery Fistula to the Left Ventricle after Acute Myocardial Infarction.
10.4070/kcj.2000.30.2.221
- Author:
Seung Youn KIM
;
Hyun Sin PARK
;
Sang Jun PARK
;
Kyung Woo PARK
;
Jeong Kee SEO
;
Jun KWAN
;
Keum Soo PARK
;
Woo Hyung LEE
- Publication Type:Case Report
- Keywords:
Coronary artery fistula;
Acute myocardial infarction
- MeSH:
Aneurysm;
Arrhythmias, Cardiac;
Chest Pain;
Coronary Angiography;
Coronary Vessels*;
Echocardiography;
Endocarditis, Bacterial;
Fistula*;
Heart Failure;
Heart Ventricles*;
Hemodynamics;
Humans;
Infarction;
Korea;
Male;
Middle Aged;
Myocardial Infarction*;
Myocardial Ischemia;
Rupture;
Thrombosis;
Veins
- From:Korean Circulation Journal
2000;30(2):221-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary artery fistula is an unusual anomaly that consists of a communication between one of the coronary arteries and a cardiac chamber or vein. It has hemodynamic significance, complicated by congestive heart failure, bacterial endocarditis, rupture or thrombosis of the fistula or an associated arterial aneurysm, myocardial ischemia, and arrhythmias. It occurs in congenital, traumatic, neoplastic, or artherosclerotic cardiac disorders. It is being diagnosed with increasing frequency with widespread use of selective coronary angiography. However, acquired coronary artery fistula after acute myocardial infarction is a rare clinical entity, and it has not been reported in Korea yet. We observed a 62-year-old male patient with intermittent chest pain at rest, in whom serial coronary angiography showed newly developed communications from the left anterior descending coronary artery to the left ventricular chamber several months after acute myocardial infarction of the anteroseptal wall. The area of communication corresponded to the site of infarction as established by contrast echocardiography.
