title: Steal syndrome secondary to coronary artery fistulae associated with giant aneurysm.
abstract: Giant coronary artery aneurysms and coronary artery fistulae are uncommon pathologies. We present the case of an elderly woman who was referred to cardiology for investigation of possible ischaemic heart disease prior to orthopaedic surgery. The patient had developed chest pain in the setting of a septic total knee replacement associated with changes on electrocardiography. Coronary angiography revealed multiple coronary arteriovenous fistulae associated with giant coronary artery aneurysm causing steal syndrome in the setting of haemodynamic stress.
authors.affiliation: Anastasia Vlachadis Castles, Tamara Mogilevski, Muhammad Asrar ul Haq, Department of Cardiology, The Northern Hospital, Epping, VIC 3076, Australia.
authors.forename: Anastasia Vlachadis
authors.initials: AV
authors.lastname: Castles
authors.affiliation: Anastasia Vlachadis Castles, Tamara Mogilevski, Muhammad Asrar ul Haq, Department of Cardiology, The Northern Hospital, Epping, VIC 3076, Australia.
authors.forename: Tamara
authors.initials: T
authors.lastname: Mogilevski
authors.affiliation: Anastasia Vlachadis Castles, Tamara Mogilevski, Muhammad Asrar ul Haq, Department of Cardiology, The Northern Hospital, Epping, VIC 3076, Australia.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Asrar ul Haq
keywords: Chest pain; Coronary aneurysm; Coronary angiography; Coronary disease; Myocardial ischaemia; Vascular fistula