Left main coronary artery to pulmonary artery fistula presenting as angina and ventricular tachycardia - A case report and literature review

Simone Gong; Silvana Marasco; Michael Wong; Martin Hiscock

doi:10.1002/ccr3.7231

Left main coronary artery to pulmonary artery fistula presenting as angina and ventricular tachycardia - A case report and literature review

Clin Case Rep. 2023 May 1;11(5):e7231. doi: 10.1002/ccr3.7231. eCollection 2023 May.

Authors

Simone Gong^{1

2}, Silvana Marasco^{1

3

4}, Michael Wong¹, Martin Hiscock^{1

2}

Affiliations

¹ Department of Cardiology Epworth Hospital Richmond Melbourne Victoria Australia.
² Department of Medicine University of Melbourne Melbourne Victoria Australia.
³ CJOB Cardiothoracic Surgery Department The Alfred Hospital Melbourne Victoria Australia.
⁴ Department of Surgery Monash University Melbourne Victoria Australia.

Abstract

Coronary artery fistulae are an uncommon abnormality of the coronary arteries, but when hemodynamically significant can present as angina, dyspnea, and arrhythmia as a rare cause of functional myocardial ischemia via 'coronary steal phenomenon'.

Keywords: angina; coronary artery fistula; coronary steal; left main ischemia; ventricular tachycardia.

Publication types

Case Reports