Turk Kardiyol Dern Ars. 2013; 41(2): 144-147 | DOI: 10.5543/tkda.2013.31799
Percutaneous closure of the coronary artery-pulmonary artery fistula in a patient with apical hypertrophic cardiomyopathy
Murat Sünbül1, Nurdan Papila Topal2, Tarık Kıvrak1, Bülent Mutlu11Clinic of Cardiology, Marmara University Training And Research Hospital, İstanbul, Turkey
2Clinic of Cardiology, Kartal Lutfi Kırdar Training And Research Hospital, İstanbul, Turkey
A fifty-four-year-old female patient was admitted to our unit with exertional chest pain of six months duration. Transthoracic echocardiography showed apical hypertrophy. Upon further investigation, cardiac magnetic resonance imaging revealed apical hypertrophic cardiomyopathy. The patient underwent myocardial perfusion scintigraphy which showed anterior ischemia. Coronary angiography revealed an arteriovenous fistula (AVF) from the left anterior descending artery to the pulmonary artery. The patient’s chest pain was attributed to a coronary steal syndrome secondary to the coronary AVF. The AVF fistula was closed with a coil and the patient’s chest pain improved. In conclusion, coronary steal
syndrome may lead to myocardial ischemia in patients with a coronary AVF.
Keywords: Arteriovenous fistula/epidemiology, chest pain; coronary angiography; coronary-subclavian steal syndrome; coronary vessel anomalies.
How to cite this article
Murat Sünbül, Nurdan Papila Topal, Tarık Kıvrak, Bülent Mutlu. Percutaneous closure of the coronary artery-pulmonary artery fistula in a patient with apical hypertrophic cardiomyopathy. Turk Kardiyol Dern Ars. 2013; 41(2): 144-147
Corresponding Author: Murat Sünbül, Türkiye
Manuscript Language: Turkish