A rare case of coronary artery fistula presented with acute myocardial infarction

Coronary artery fistulas (CAFs): Are anomalous connections of the coronary arteries (CA) with major vascular structures or heart chambers. Most of CAFs are incidental findings during invasive coronary angiography (ICA) or computed tomography angiography (CTA). Many patients with CAFs are asymptomati...

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Autores principales:	Osama Abdalhadi Smettei, Rami Mahmood Abazid
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2015
Materias:	acute myocardial infarction computed tomography angiography coronary anomalies coronary artery fistula Medicine R
Acceso en línea:	https://doaj.org/article/177d652c9a1146c69b7b5f229f809223
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spelling	oai:doaj.org-article:177d652c9a1146c69b7b5f229f8092232021-12-02T17:05:47ZA rare case of coronary artery fistula presented with acute myocardial infarction2231-07702249-446410.4103/2231-0770.154200https://doaj.org/article/177d652c9a1146c69b7b5f229f8092232015-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.154200https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Coronary artery fistulas (CAFs): Are anomalous connections of the coronary arteries (CA) with major vascular structures or heart chambers. Most of CAFs are incidental findings during invasive coronary angiography (ICA) or computed tomography angiography (CTA). Many patients with CAFs are asymptomatic; only a minority has been associated with various clinical features and outcomes. We have reported a rare CAF complicated with acute myocardial infarction (AMI) in 43 years old female Patient who was admitted to our institution with a Diagnosis of Acute Infero-Posterior Myocardial Infarction (AMI). ICA and CTA showed a thrombosed CAF between left main coronary artery and right atrium with totally occluded left circumflex artery by a thrombus extended from the fistula. As there was a high risk associated with immediate intervention, the patient was kept on conservative management with a future plan of catheter-assisted or surgical closure. We have shown a rare case of CAF presenting with AMI that is unusual for such an anomaly, and have highlighted the role of CTA in the diagnosis and management of such rare disorder.Osama Abdalhadi SmetteiRami Mahmood AbazidThieme Medical and Scientific Publishers Pvt. Ltd.articleacute myocardial infarctioncomputed tomography angiographycoronary anomaliescoronary artery fistulaMedicineRENAvicenna Journal of Medicine, Vol 05, Iss 02, Pp 49-51 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute myocardial infarction computed tomography angiography coronary anomalies coronary artery fistula Medicine R
spellingShingle	acute myocardial infarction computed tomography angiography coronary anomalies coronary artery fistula Medicine R Osama Abdalhadi Smettei Rami Mahmood Abazid A rare case of coronary artery fistula presented with acute myocardial infarction
description	Coronary artery fistulas (CAFs): Are anomalous connections of the coronary arteries (CA) with major vascular structures or heart chambers. Most of CAFs are incidental findings during invasive coronary angiography (ICA) or computed tomography angiography (CTA). Many patients with CAFs are asymptomatic; only a minority has been associated with various clinical features and outcomes. We have reported a rare CAF complicated with acute myocardial infarction (AMI) in 43 years old female Patient who was admitted to our institution with a Diagnosis of Acute Infero-Posterior Myocardial Infarction (AMI). ICA and CTA showed a thrombosed CAF between left main coronary artery and right atrium with totally occluded left circumflex artery by a thrombus extended from the fistula. As there was a high risk associated with immediate intervention, the patient was kept on conservative management with a future plan of catheter-assisted or surgical closure. We have shown a rare case of CAF presenting with AMI that is unusual for such an anomaly, and have highlighted the role of CTA in the diagnosis and management of such rare disorder.
format	article
author	Osama Abdalhadi Smettei Rami Mahmood Abazid
author_facet	Osama Abdalhadi Smettei Rami Mahmood Abazid
author_sort	Osama Abdalhadi Smettei
title	A rare case of coronary artery fistula presented with acute myocardial infarction
title_short	A rare case of coronary artery fistula presented with acute myocardial infarction
title_full	A rare case of coronary artery fistula presented with acute myocardial infarction
title_fullStr	A rare case of coronary artery fistula presented with acute myocardial infarction
title_full_unstemmed	A rare case of coronary artery fistula presented with acute myocardial infarction
title_sort	rare case of coronary artery fistula presented with acute myocardial infarction
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2015
url	https://doaj.org/article/177d652c9a1146c69b7b5f229f809223
work_keys_str_mv	AT osamaabdalhadismettei ararecaseofcoronaryarteryfistulapresentedwithacutemyocardialinfarction AT ramimahmoodabazid ararecaseofcoronaryarteryfistulapresentedwithacutemyocardialinfarction AT osamaabdalhadismettei rarecaseofcoronaryarteryfistulapresentedwithacutemyocardialinfarction AT ramimahmoodabazid rarecaseofcoronaryarteryfistulapresentedwithacutemyocardialinfarction
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A rare case of coronary artery fistula presented with acute myocardial infarction

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