Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report

BACKGROUND: Coexistence of coronary artery fistulas and atherosclerotic coronary artery disease (CAD) is rare. CASE SUMMARY: We present a unique case of a patient initially presenting with an anterior ST-elevation myocardial infarction, subsequently found to have two-vessel CAD and an aneurysmal lef...

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Detalles Bibliográficos
Autores principales: Frampton, Jennifer, Rothstein, Eric, Iribarne, Alexander, Powell, Richard, Young, Michael N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189310/
https://www.ncbi.nlm.nih.gov/pubmed/34124565
http://dx.doi.org/10.1093/ehjcr/ytab157
Descripción
Sumario:BACKGROUND: Coexistence of coronary artery fistulas and atherosclerotic coronary artery disease (CAD) is rare. CASE SUMMARY: We present a unique case of a patient initially presenting with an anterior ST-elevation myocardial infarction, subsequently found to have two-vessel CAD and an aneurysmal left coronary-to-right pulmonary artery fistula. DISCUSSION: After discussion with the patient and a multidisciplinary discussion with the heart team, consisting of cardiovascular surgery, interventional cardiology, and vascular surgery, a percutaneous approach was chosen. He underwent successful multivessel percutaneous coronary intervention followed by fistula embolization.

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