Ectatic left circumflex artery with fistula to coronary sinus presenting with inferior wall myocardial infarction.
Coronary arteriovenous fistulae are a rare but potentially curable cause of ischaemic heart disease and should be considered as a differential diagnosis especially in patients lacking classical risk factors for coronary artery disease. We discuss one such case of cardiac ischaemia resulting from a coronary arteriovenous fistula. While there are sporadic case reports of similar patients in medical literature, our patient is the first reported case of ST-elevation myocardial infarction secondary to the fistulous connection.
Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India. vivekgraman@gmail.com
G
G
Vivek
Kushal
K
Naha
Padmakumar
P
Ramachandran
K V
KV
Rajagopal
D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D054326:Coronary Sinus; D003331:Coronary Vessels; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed