Open AccessSteal syndrome secondary to coronary artery fistulae associated with giant aneurysm
Author(s) -
A. Vlachadis Castles,
Tamara Mogilevski,
Muhammad Asrar ul Haq
Publication year - 2014
Publication title -
world journal of cardiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8462
DOI - 10.4330/wjc.v6.i3.112
Subject(s) - medicine , cardiology , chest pain , coronary artery disease , aneurysm , artery , coronary angiography , electrocardiography , right coronary artery , radiology , myocardial infarction
Giant coronary artery aneurysms and coronary artery fistulae are uncommon pathologies. We present the case of an elderly woman who was referred to cardiology for investigation of possible ischaemic heart disease prior to orthopaedic surgery. The patient had developed chest pain in the setting of a septic total knee replacement associated with changes on electrocardiography. Coronary angiography revealed multiple coronary arteriovenous fistulae associated with giant coronary artery aneurysm causing steal syndrome in the setting of haemodynamic stress.