Case report<br>Acute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up

Beata Wożakowska-Kapłon; Paweł Salwa; Maciej Młodnicki; Przemysław Dąbkowski

doi:10.5114/pwki.2011.21195

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Case report
Acute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up

Beata Wożakowska-Kapłon

,

Paweł Salwa

,

Maciej Młodnicki

,

Przemysław Dąbkowski

Post Kardiol Interw 2011; 7, 1 (23): 87-90

DOI: https://doi.org/10.5114/pwki.2011.21195

Online publish date: 2011/04/08

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AMA

Wożakowska-Kapłon B, Salwa P, Młodnicki M, Dąbkowski P. Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2011;7(1):87-90. doi:10.5114/pwki.2011.21195.

APA

Wożakowska-Kapłon, B., Salwa, P., Młodnicki, M.,  & Dąbkowski, P. (2011). Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 7(1), 87-90. https://doi.org/10.5114/pwki.2011.21195

Chicago

Wożakowska-Kapłon, Beata, Paweł Salwa, Maciej Młodnicki,  and Przemysław Dąbkowski. 2011. "Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 7 (1): 87-90. doi:10.5114/pwki.2011.21195.

Harvard

Wożakowska-Kapłon, B., Salwa, P., Młodnicki, M.,  and Dąbkowski, P. (2011). Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 7(1), pp.87-90. https://doi.org/10.5114/pwki.2011.21195

MLA

Wożakowska-Kapłon, Beata et al. "Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 7, no. 1, 2011, pp. 87-90. doi:10.5114/pwki.2011.21195.

Vancouver

Wożakowska-Kapłon B, Salwa P, Młodnicki M, Dąbkowski P. Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2011;7(1):87-90. doi:10.5114/pwki.2011.21195.

Coronary artery fistula (CAF) is an abnormal connection between a coronary artery and a chamber of the heart (most often the right ventricle) or a large vessel. Most fistulas remain asymptomatic and are discovered accidentally during coronary artery diagnostics performed for other reasons. It is assumed that clinical symptoms and chest pain or exertional dyspnoea are caused by a steal phenomenon. In the case of coronary artery fistulas therapeutic management depends on clinical manifestation and the significance of haemodynamic consequences caused by the fistula. It should be noted that current guidelines of treatment are based on small retrospective studies.

We present a case of a 45-year-old patient with CAF of a rare location draining from the left anterior descending artery into the left ventricle and accompanied by a myocardial bridge narrowing the lumen of this artery. The patient presented with symptoms of acute coronary syndrome.

keywords:

Case reportAcute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up

Beata Wożakowska-Kapłon , Paweł Salwa , Maciej Młodnicki , Przemysław Dąbkowski

coronary artery fistula, acute coronary syndrome

Case report
Acute coronary syndrome in a patient with multiple coronary artery fistulas draining from the left anterior descending artery into the left ventricle – 2-year follow-up

Beata Wożakowska-Kapłon

,

Paweł Salwa

,

Maciej Młodnicki

,

Przemysław Dąbkowski