title: Coronary artery fistula as a bypass of a left anterior descending coronary artery stenosis.
abstract: We present a case of coronary artery fistula originating from the proximal left anterior descending coronary artery anterior to a critical atheromatous stenosis, draining into the main trunk of the pulmonary artery and with a third branch draining into the coronary vessel itself, distal to the lesion. The diagnosis was made when we were performing a diagnostic coronary arteriography on a patient with unstable angina. The possible association of the fistula and coronary atherosclerosis is discussed.
authors.affiliation: Department of Cardiothoracic Surgery, Hospital Puerta de Hierro, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Castedo
authors.forename: J F
authors.initials: JF
authors.lastname: Oteo
authors.forename: R
authors.initials: R
authors.lastname: Burgos
authors.forename: M
authors.initials: M
authors.lastname: Ugarte
authors.forename: C
authors.initials: C
authors.lastname: Cristóbal
authors.forename: E
authors.initials: E
authors.lastname: Tebar
authors.forename: J
authors.initials: J
authors.lastname: Ugarte
mesh_terms: D000368:Aged; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications; D003327:Coronary Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery