Unstable angina following acute MI in a patient with bilateral coronary artery fistulae: an unusual presentation of coronary steal?
We report a 57-year-old woman with acute myocardial infarction and cardiac arrest who subsequently developed unstable angina. The possibility of a coronary steal syndrome contributing to her unstable angina arises in view of the presence of bilateral coronary artery fistulae between two atherosclerotic coronary arteries and the main pulmonary artery.
Chin
B
B
University Department of Medicine, City Hospital, Birmingham B18 7QH, UK.
Spencer
C G
CG
Lip
G Y
GY
D000208:Acute Disease; D000789:Angina, Unstable / Q000209:etiology*; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000601:surgery; D006328:Cardiac Catheterization; D003331:Coronary Vessels; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D011247:Pregnancy; D013577:Syndrome; D016896:Treatment Outcome