Coronary steal with unstable angina secondary to a coronary artery fistula.
BACKGROUND
A 62-year old man with progressive deterioration of stable angina presented with an unstable episode and was referred for diagnostic coronary angiography.


METHODS
Physical examination, electrocardiography, myocardial perfusion scan, coronary angiography, cardiac CT.


METHODS
Left coronary main stem to pulmonary artery fistula.


RESULTS
Coronary angiography, percutaneous coronary intervention, coil embolisation.
Khurana
Rohit
R
Department of Cardiology, Imperial College Healthcare NHS Trust, St Mary's Campus, London, United Kingdom. khuranarohit@hotmail.com
Mittal
Tarun
T
Qasim
Asif
A
Malik
Iqbal
I
Qureshi
Shakeel A
SA
Bogers
Ad J J C
AJ
D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D055414:Myocardial Perfusion Imaging; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome