Abstract
A rare case of myocardial infarction secondary to multiple coronary artery fistulae is described. Coronary angiography showed the fistulae originating from the distal septal branch of the left anterior descending artery and distal branches of the right coronary and circumflex arteries, and drained into the left ventricle. A myocardial perfusion scan showed a fixed perfusion defect.
Get full access to this article
View all access options for this article.
References
1.
Kirklin
JW
Barratt-Boyes
BG
. Cardiac surgery. Congenital anomalies of the coronary arteries , New York : Churchill Livingstone , 1993 , pp. 1167 –1193 .
2.
Bauer
HH
Allmendinger
PD
Flaherty
J
Owlia
D
Rossi
MA
Chen
C
. Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade . Ann Thorac Surg 1996 ; 62 : 1521 –1523 .
3.
Stierle
U
Giannitsis
E
Sheikhzadeh
A
Potratz
J
. Myocardial ischemia in generalized coronary artery-left ventricular microfistulae [Review] . Int J Cardiol 1998 ; 63 : 47 –52 .
4.
Alkhulaifi
AM
Horner
SM
Pugsley
WB
Swanton
RH
. Coronary artery fistulas presenting with bacterial endocarditis . Ann Thorac Surg 1995 ; 60 : 202 –204 .
5.
Black
IW
Loo
CK
Allan
RM
. Multiple coronary artery-left ventricular fistulae: clinical, angiographic, and pathologic findings . Cathet Cardiovasc Diagn 1991 ; 23 : 133 –135 .
6.
Yamanaka
O
Hobbs
RE
. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography . Cathet Cardiovasc Diagn 1990 ; 21 : 28 –40 .
7.
Fernandes
ED
Kadivar
H
Hallman
GL
Reul
GJ
Ott
DA
Cooley
DA
. Congenital malformations of the coronary arteries: the Texas Heart Institute experience . Ann Thorac Surg 1992 ; 54 : 732 –740 .
8.
Bauer
EP
Piepho
A
Klövekorn
WP
. Coronary arteriovenous fistula: surgical correction of a rare form . Thorac Cardiovasc Surg 1994 ; 42 : 237 –239 .
9.
Strange
JW
Bucciarelli-Ducci
C
Mathur
A
Pennell
DJ
. Multiple coronary fistulae: a cause of subendocardial ischemia . Circulation 2008 ; 117 : 853 –856 .
10.
Arslan
S
Gurlertop
Y
Elbey
MA
Karakelleoglu
S
. Multiple coronary-cameral fistulae causing angina pectoris . Tex Heart Inst J 2009 ; 36 : 622 –623 .