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Ectatic left circumflex artery with fistula to coronary sinus presenting with inferior wall myocardial infarction.

ABSTRACT: 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.

SUBMITTER: Vivek G 

PROVIDER: S-EPMC4544331 | biostudies-other | 2012

REPOSITORIES: biostudies-other

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Ectatic left circumflex artery with fistula to coronary sinus presenting with inferior wall myocardial infarction.

Vivek G G   Naha Kushal K   Ramachandran Padmakumar P   Rajagopal K V KV  

BMJ case reports 20120709

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 t  ...[more]