title: Rare case of coronary to pulmonary vein fistula with coronary steal phenomenon.
abstract: Coronary artery fistulas are abnormal connections between coronary artery territories and cardiac chambers or major vessels, most of them are congenital. Patients with coronary artery fistula can be asymptomatic or present with different symptoms like angina. Cardiac computed tomography (CT) is one of the best modalities for diagnosis. We present an elderly patient that presented with angina symptoms, non invasive stress test was positive for ischemic heart disease, coronary angiogram could not reveal any obstructive lesions, but an abnormal branch of the left descending coronary artery (LAD), cardiac CT showed fistula that connect left anterior descending coronary artery to left superior pulmonary vein. Our case is extremely rare as most of the reported cases were fistulas between LAD and pulmonary artery, but in our case the fistula between LAD and left superior pulmonary vein. In addition, our patients' symptoms resolved with anti-ischemic medical treatment without any surgical intervention.
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Emad A
authors: EA
authors: Barsoum
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Faisal B
authors: FB
authors: Saiful
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Deepak
authors: D
authors: Asti
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Rewais
authors: R
authors: Morcus
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Georges
authors: G
authors: Khoueiry
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: James
authors: J
authors: Lafferty
authors: Emad A Barsoum, Faisal B Saiful, Rewais Morcus, Georges Khoueiry, James Lafferty, Donald A McCord, Department of Medicine, Staten Island University Hospital, New York, NY 10305, United States.
authors: Donald A
authors: DA
authors: McCord
keywords: Coronary artery anomalies in adult; Coronary artery disease; Coronary artery fistula