Korean Circ J.  2012 Apr;42(4):292-293. 10.4070/kcj.2012.42.4.292.

Coronary-Pulmonary Fistulas Involving All Three Major Coronary Arteries Co-Existing With Myocardial Infarction

• Roule V
• Dahdouh Z
• Lemaitre A
• Sabatier R
• Lognone T
• Bignon M
• Malcor G
• Grollier G

• KMID: 2225026
• DOI: http://doi.org/10.4070/kcj.2012.42.4.292

Abstract

We report the case of a man who presented with acute anterior myocardial infarction and in whom the coronary angiogram showed tight stenosis of the left anterior descending coronary artery and the right coronary artery associated with substantial coronary-pulmonary fistulas involving all three major coronary arteries. We discuss the possible links between coronary artery fistulas and myocardial infarction.

Keyword

Myocardial infarction; Fistula; Myocardial ischemia

MeSH Terms

Constriction, Pathologic
Coronary Vessels
Fistula
Myocardial Infarction
Myocardial Ischemia

Figure

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  Fig. 1 Coronary angiogram. A: tight stenosis of the proximal right coronary artery with a coronary-pulmonary fistula in the right anterior oblique 30°. B: tight and thrombotic stenosis of the proximal left anterior descending (LAD) coronary artery with coronary-pulmonary fistulas of the LAD and the circumflex coronary artery in the caudal 20°, (C) cranial 30°-left anterior oblique 30°, and (D) transverse view.

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