Acute Coronary Syndrome Secondary to Aortocaval Fistula

Alejandro Cruz-Utrilla; Eduardo Pozo; Gina LaRocca; Marcos Ferrández-Escarabajal; David Filgueiras-Rama

doi:10.1016/j.jaccas.2019.05.015

Acute Coronary Syndrome Secondary to Aortocaval Fistula

JACC Case Rep. 2019 Jun 19;1(1):67-69. doi: 10.1016/j.jaccas.2019.05.015. eCollection 2019 Jun.

Authors

Alejandro Cruz-Utrilla¹, Eduardo Pozo¹, Gina LaRocca², Marcos Ferrández-Escarabajal¹, David Filgueiras-Rama¹

Affiliations

¹ Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain.
² Cardiovascular Institute and Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Mount Sinai School of Medicine, New York, New York.

Abstract

This paper reports the case of an 88-year-old male with a history of chronic abdominal aortic aneurysm admitted to the emergency department with resting chest pain consistent with angina. Beta-blockade therapy triggered a cardiogenic shock, which motivated an urgent computed tomography scan and echocardiogram that confirmed high-output-related heart failure secondary to aortocaval fistula. (Level of Difficulty: Beginner.).

Keywords: abdominal aortic aneurysm; aortocaval fistula; electrocardiography.