title: [Left coronary artery-pulmonary artery fistula. Case report].
abstract: A case of a 45-year-old male with anterior descending branch of the left coronary artery fistula to the main pulmonary trunk is reported. The patient was admitted because of a retrosternal pain. ECG showed ST-elevation in leads V2-3. This was first episode of anginal symptoms. The authors suggest that the single episode of coronary pain may have been provoked by faintness (following alcohol consumption) in the mechanism of the steal syndrome or by coronary spasm. A fistula (on coronarography) was diagnosed (the coronary arteries showed no changes). The value of the shunt calculated via Flick's method was 1.1 l/min. Exercise test, 24-hour ECG recording as well as stress thallium scintigraphy did not reveal post-exertion ischemic changes. During a 17-month post hospitalization follow-up the patient reported no anginal symptoms. Because of the small shunt and asymptomatic follow-up no surgical treatment was recommended.
authors.affiliation: Kliniki Chorób Wewnetrznych IChW, Karola Marcinkowskiego w Poznaniu.
authors.forename: W
authors.initials: W
authors.lastname: Elikowski
authors.forename: W
authors.initials: W
authors.lastname: Adamczyk
authors.forename: B
authors.initials: B
authors.lastname: Pawlak
authors.forename: K
authors.initials: K
authors.lastname: Bielski
mesh_terms: D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000187:drug effects / Q000473:pathology*; D004359:Drug Therapy, Combination; D015716:Electrocardiography, Ambulatory; D006801:Humans; D008297:Male; D008790:Metoprolol / Q000008:administration & dosage; D008875:Middle Aged; D009543:Nifedipine / Q000008:administration & dosage; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000187:drug effects
chemical_list: D008790:Metoprolol; D009543:Nifedipine
vernacular_title: Przetoka lewej tetnicy wieńcowej do pnia tetnicy płucnej. Opis przypadku.