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A case of symptomatic coronary artery fistula

Nature Clinical Practice Cardiovascular Medicine volume 3, pages 689–692 (2006)Cite this article

Abstract

Background A 57-year-old man presented with dyspnea and presyncope on exertion. He had previously been diagnosed with hypertension, hypercholesterolemia and atrial fibrillation. A soft (grade II/VI), dynamic continuous murmur was noted in the mid precordium.

Investigations Electrocardiography, stress echocardiography and coronary angiography.

Diagnosis Right coronary artery to coronary sinus fistula with coronary steal, exertional ischemia and ventricular arrhythmia.

Management Coil embolization of coronary left ventricular fistula.

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Figure 1: An anteroposterior angiographic view of the right coronary artery during contrast injection.
Figure 2: A projection of the anteroposterior angiographic view of the right coronary artery seen in Figure 1 at a different stage of the cardiac cycle, during contrast injection.
Figure 3: An anteroposterior angiographic view of the right coronary artery taken during contrast injection after closure of the fistula using coil embolization.

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Authors and Affiliations

  1. fellow in Cardiology,

    Gary Spektor, Barry Love, Samin K Sharma & Valentin Fuster

  2. Director of the Congenital Cardiac Catheterization Laboratory,

    Gary Spektor, Barry Love, Samin K Sharma & Valentin Fuster

  3. Director of the Interventional Cardiology and Cardiac Catheterization Laboratory,

    Gary Spektor, Barry Love, Samin K Sharma & Valentin Fuster

  4. Director of the Zena and Michael A Wiener Cardiovascular Institute and The Marie-José and Henry R Kravis Center for Cardiovascular Health, Mount Sinai Medical Center, New York, NY, USA

    Gary Spektor, Barry Love, Samin K Sharma & Valentin Fuster

  5. fellow in Cardiac Electrophysiology at the Emory Hospital, Atlanta, GA, USA

    Anil K Gehi

Authors
  1. Gary Spektor
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  2. Anil K Gehi
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  3. Barry Love
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  4. Samin K Sharma
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  5. Valentin Fuster
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Corresponding author

Correspondence to Valentin Fuster.

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The authors declare no competing financial interests.

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Spektor, G., Gehi, A., Love, B. et al. A case of symptomatic coronary artery fistula. Nat Rev Cardiol 3, 689–692 (2006). https://doi.org/10.1038/ncpcardio0709

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  • DOI: https://doi.org/10.1038/ncpcardio0709

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