[Myocardial ischemia secondary to coronary fistula of the anterior descending artery with drainage into the pulmonary artery].
This article reports the clinical and angiographic aspects of three patients with congenital coronary arteriovenous fistula to the main pulmonary artery, which manifested as dyspnea crisis and angina. This three cases were found in the course of 4,400 consecutive cardiac catheterization procedures to study coronary artery disease. The interest of the cases reported is based on the peculiar anatomy of the fistula. Prompt diagnosis is relevant for better prognosis and treatment.
Palomo Villada
J A
JA
Hospital de Cardiología del Centro, Médico Nacional Siglo XXI, IMSS, México, D.F.
Ruesga Zamora
E
E
Toledo Zárate
C
C
Necoechea Alva
J C
JC
Jáuregui Aguilar
R
R
Kúsulas Zerón
C
C
Cancino Rodríguez
C
C
Estrada Gallegos
J
J
Skromne Kadlubik
D
D
D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012189:Retrospective Studies
Isquemia miocárdica secundaria a fístula coronaria de la arteria descendente anterior con drenaje al tronco de la arteria pulmonar.