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Case Reports
. 2006 Dec;3(12):689-92.
doi: 10.1038/ncpcardio0709.

A case of symptomatic coronary artery fistula

Gary Spektor  1 , Anil K Gehi, Barry Love, Samin K Sharma, Valentin Fuster
Affiliations
Case Reports

A case of symptomatic coronary artery fistula

Gary Spektor et al. Nat Clin Pract Cardiovasc Med. 2006 Dec.

Abstract

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.

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