title: Acquired left coronary artery fistula draining to the cardiac vein system after acute myocardial infarction revealed by CT scan.
abstract: Coronary artery fistula (CAF) is a congenital condition characterized by a pathological communication between a coronary artery and a systemic vein or one of the cardiac chambers. Iatrogenic CAFs were reported to develop secondary to the rupture of coronary aneurysm. Instances of acquired CAF draining into the cardiac chambers have been described after acute myocardial infarction. Angiography is the gold standard in diagnosing CAF. We describe the case of a patient who developed a fistula draining into the middle cardiac vein on the posterior interventricular sulcus, after acute myocardial infarction, revealed by CT scan.
authors.affiliation: Department of Clinical Medicine, Cardiovascular and Immunological Science, Division of Cardiology, Federico II University of Naples, 80131 Naples, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Cassese
authors.forename: Plinio
authors.initials: P
authors.lastname: Cirillo
authors.forename: Santo
authors.initials: S
authors.lastname: Dellegrottaglie
authors.forename: Federico
authors.initials: F
authors.lastname: Piscione
authors.forename: Massimo
authors.initials: M
authors.lastname: Chiariello
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D015607:Stents; D015912:Thrombolytic Therapy