Korean Circ J.  2000 Feb;30(2):221-226. 10.4070/kcj.2000.30.2.221.

A Case of Acquired Coronary Artery Fistula to the Left Ventricle after Acute Myocardial Infarction

• Kim SY
• Park HS
• Park SJ
• Park KW
• Seo JK
• Kwan J
• Park KS
• Lee WH

• KMID: 1858449
• DOI: http://doi.org/10.4070/kcj.2000.30.2.221

Abstract

Coronary artery fistula is an unusual anomaly that consists of a communication between one of the coronary arteries and a cardiac chamber or vein. It has hemodynamic significance, complicated by congestive heart failure, bacterial endocarditis, rupture or thrombosis of the fistula or an associated arterial aneurysm, myocardial ischemia, and arrhythmias. It occurs in congenital, traumatic, neoplastic, or artherosclerotic cardiac disorders. It is being diagnosed with increasing frequency with widespread use of selective coronary angiography. However, acquired coronary artery fistula after acute myocardial infarction is a rare clinical entity, and it has not been reported in Korea yet. We observed a 62-year-old male patient with intermittent chest pain at rest, in whom serial coronary angiography showed newly developed communications from the left anterior descending coronary artery to the left ventricular chamber several months after acute myocardial infarction of the anteroseptal wall. The area of communication corresponded to the site of infarction as established by contrast echocardiography.

Keyword

Coronary artery fistula; Acute myocardial infarction

MeSH Terms

Aneurysm
Arrhythmias, Cardiac
Chest Pain
Coronary Angiography
Coronary Vessels*
Echocardiography
Endocarditis, Bacterial
Fistula*
Heart Failure
Heart Ventricles*
Hemodynamics
Humans
Infarction
Korea
Male
Middle Aged
Myocardial Infarction*
Myocardial Ischemia
Rupture
Thrombosis
Veins