Coronary Anomaly and Coronary Artery Fistula as Cause of Angina Pectoris with Literature Review | Zendy

Jayanth Koneru | Zendy; Anish Samuel | Zendy; Meherwan Joshi | Zendy; Aiman Hamden | Zendy; Fayez Shamoon | Zendy; Mahesh Bikkina | Zendy

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Coronary Anomaly and Coronary Artery Fistula as Cause of Angina Pectoris with Literature Review

Author(s) -

Jayanth Koneru,

Anish Samuel,

Meherwan Joshi,

Aiman Hamden,

Fayez Shamoon,

Mahesh Bikkina

Publication year - 2011

Publication title -

case reports in vascular medicine

Language(s) - English

Resource type - Journals

eISSN - 2090-6986

pISSN - 2090-6994

DOI - 10.1155/2011/486187

Subject(s) - medicine , cardiology , artery , angina , coronary steal , fistula , coronary arteries , radiology , myocardial infarction , coronary angiography

Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.

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