Coronary steal with unstable angina secondary to a coronary artery fistula

EuroIntervention. 2009 Jan;4(4):542-8. doi: 10.4244/i4a91.

Abstract

Background: A 62-year old man with progressive deterioration of stable angina presented with an unstable episode and was referred for diagnostic coronary angiography.

Investigations: Physical examination, electrocardiography, myocardial perfusion scan, coronary angiography, cardiac CT.

Diagnosis: Left coronary main stem to pulmonary artery fistula.

Management: Coronary angiography, percutaneous coronary intervention, coil embolisation.

Publication types

  • Case Reports

MeSH terms

  • Angina, Unstable / diagnostic imaging
  • Angina, Unstable / etiology
  • Angina, Unstable / therapy*
  • Angioplasty, Balloon, Coronary
  • Arterio-Arterial Fistula / complications
  • Arterio-Arterial Fistula / diagnostic imaging
  • Arterio-Arterial Fistula / therapy*
  • Coronary Angiography
  • Coronary Vessels*
  • Electrocardiography
  • Embolization, Therapeutic*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / diagnostic imaging
  • Myocardial Ischemia / etiology
  • Myocardial Ischemia / therapy*
  • Myocardial Perfusion Imaging
  • Pulmonary Artery* / diagnostic imaging
  • Tomography, X-Ray Computed
  • Treatment Outcome