A Rapidly Progressing Native Coronary Artery to an Aneurysm Due to Distal Coronary to Ventricular Fistula- causing Anginal Chest Pain

Sethi, Pooja and Murtaza, Ghulam and Khalid, Muhammad and Paul, Timir (2017) A Rapidly Progressing Native Coronary Artery to an Aneurysm Due to Distal Coronary to Ventricular Fistula- causing Anginal Chest Pain. British Journal of Medicine and Medical Research, 19 (10). pp. 1-4. ISSN 22310614

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Abstract

Coronary artery fistula (CAF) is a rare congenital or acquired coronary anomaly. Although the majority of patients with CAF are asymptomatic, many of them present with angina pectoris, atypical chest pain, palpitation, fatigue, bacterial endocarditis, congestive heart failure, pericardial effusion and sudden cardiac death. We present a case of coronary artery fistula with recurrent episodes of chest pain that were thought to be resulting from coronary artery atherosclerosis. His left heart catheterization showed right coronary artery to left ventricular fistula that was not believed to be causing his chest discomfort as it was small and was left untreated. He continued to have these symptoms until fistula was repaired. Interestingly his fistula leads to a large coronary artery aneurysm over a short period of time. Our case is important with the fact that in the symptomatic patient with untreated fistula might get complicated and would lead to persistent symptoms.

Item Type: Article
Subjects: Eprints STM archive > Medical Science
Depositing User: Unnamed user with email admin@eprints.stmarchive
Date Deposited: 19 May 2023 08:11
Last Modified: 17 Jan 2024 04:25
URI: http://public.paper4promo.com/id/eprint/279

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