Publication Date

2014

Journal Title

World J Cardiol

Abstract

Coronary artery fistulas are abnormal connections between coronary artery territories and cardiac chambers or major vessels, most of them are congenital. Patients with coronary artery fistula can be asymptomatic or present with different symptoms like angina. Cardiac computed tomography (CT) is one of the best modalities for diagnosis. We present an elderly patient that presented with angina symptoms, non invasive stress test was positive for ischemic heart disease, coronary angiogram could not reveal any obstructive lesions, but an abnormal branch of the left descending coronary artery (LAD), cardiac CT showed fistula that connect left anterior descending coronary artery to left superior pulmonary vein. Our case is extremely rare as most of the reported cases were fistulas between LAD and pulmonary artery, but in our case the fistula between LAD and left superior pulmonary vein. In addition, our patients' symptoms resolved with anti-ischemic medical treatment without any surgical intervention.

Volume Number

6

Issue Number

7

Pages

682-4

Document Type

Article

EPub Date

2014/07/30

Status

Northwell Researcher

Facility

Northwell Health

Primary Department

General Internal Medicine

PMID

25068029

DOI

10.4330/wjc.v6.i7.682


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