A case of symptomatic coronary artery fistula.

摘要

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.