open access

Vol 12, No 3 (2017)
Case Reports
Published online: 2016-09-13
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Coronary cameral fistulae symptomatic with unstable angina

Zairi Ihsen, Khadija Mzoughi, Zouhaier Jnifene, Fethia Ben Moussa, Sofiene Kammoun, Sana Fennira, Sondos Kraiem
DOI: 10.5603/FC.a2016.0069
·
Folia Cardiologica 2017;12(3):274-276.

open access

Vol 12, No 3 (2017)
Case Reports
Published online: 2016-09-13

Abstract

Coronary arterial fi stula is a rare defect characterized by a connection between one or more of the coronary arteries and a cardiac chamber or great vessel. Complications include ‘steal’ from the adjacent myocardium, thrombosis and embolism, cardiac failure, atrial fi brillation, rupture, endocarditis/endarteritis and arrhythmias. Here we report the case of a 73-year-old female that was admitted for unstable angina. Coronary angiography revealed the presence of multiple large coronary-cameral fi stula. CT scan confi rmed the presence of ecstasis of the left main artery, associated with coronary-cameral fi stulae between left ventricle and ramus intermedius artery and the circumfl ex artery.

Abstract

Coronary arterial fi stula is a rare defect characterized by a connection between one or more of the coronary arteries and a cardiac chamber or great vessel. Complications include ‘steal’ from the adjacent myocardium, thrombosis and embolism, cardiac failure, atrial fi brillation, rupture, endocarditis/endarteritis and arrhythmias. Here we report the case of a 73-year-old female that was admitted for unstable angina. Coronary angiography revealed the presence of multiple large coronary-cameral fi stula. CT scan confi rmed the presence of ecstasis of the left main artery, associated with coronary-cameral fi stulae between left ventricle and ramus intermedius artery and the circumfl ex artery.

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Keywords

coronary artery fistula, angina, coronary angiograph, coronary artery disease

About this article
Title

Coronary cameral fistulae symptomatic with unstable angina

Journal

Folia Cardiologica

Issue

Vol 12, No 3 (2017)

Pages

274-276

Published online

2016-09-13

DOI

10.5603/FC.a2016.0069

Bibliographic record

Folia Cardiologica 2017;12(3):274-276.

Keywords

coronary artery fistula
angina
coronary angiograph
coronary artery disease

Authors

Zairi Ihsen
Khadija Mzoughi
Zouhaier Jnifene
Fethia Ben Moussa
Sofiene Kammoun
Sana Fennira
Sondos Kraiem

References (5)
  1. Dodge-Khatami A, Mavroudis C, Backer CL. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries. Ann Thorac Surg. 2000; 69(4 Suppl): S270–S297.
  2. Kugelmass AD, Manning WJ, Piana RN, et al. Coronary arteriovenous fistula presenting as congestive heart failure. Cathet Cardiovasc Diagn. 1992; 26(1): 19–25.
  3. Oshiro K, Shimabukuro M, Nakada Y, et al. Multiple coronary LV fistulas: demonstration of coronary steal phenomenon by stress thallium scintigraphy and exercise hemodynamics. Am Heart J. 1990; 120(1): 217–219.
  4. Perry SB, Rome J, Keane JF, et al. Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol. 1992; 20(1): 205–209.
  5. Qureshi SA. Coronary arterial fistulas. Orphanet J Rare Dis. 2006; 1: 51.

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