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Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report.

ABSTRACT:

Background

Coexistence of coronary artery fistulas and atherosclerotic coronary artery disease (CAD) is rare.

Case summary

We present a unique case of a patient initially presenting with an anterior ST-elevation myocardial infarction, subsequently found to have two-vessel CAD and an aneurysmal left coronary-to-right pulmonary artery fistula.

Discussion

After discussion with the patient and a multidisciplinary discussion with the heart team, consisting of cardiovascular surgery, interventional cardiology, and vascular surgery, a percutaneous approach was chosen. He underwent successful multivessel percutaneous coronary intervention followed by fistula embolization.

SUBMITTER: Frampton J

PROVIDER: S-EPMC8189310 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Publications

Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report.

Frampton Jennifer J Rothstein Eric E Iribarne Alexander A Powell Richard R Young Michael N MN

European heart journal. Case reports 20210516 5

<h4>Background</h4>Coexistence of coronary artery fistulas and atherosclerotic coronary artery disease (CAD) is rare.<h4>Case summary</h4>We present a unique case of a patient initially presenting with an anterior ST-elevation myocardial infarction, subsequently found to have two-vessel CAD and an aneurysmal left coronary-to-right pulmonary artery fistula.<h4>Discussion</h4>After discussion with the patient and a multidisciplinary discussion with the heart team, consisting of cardiovascular surg ...[more]

PMID: 34124565

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