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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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
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author Frampton, Jennifer
Rothstein, Eric
Iribarne, Alexander
Powell, Richard
Young, Michael N
author_facet Frampton, Jennifer
Rothstein, Eric
Iribarne, Alexander
Powell, Richard
Young, Michael N
author_sort Frampton, Jennifer
collection PubMed
description 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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spelling pubmed-81893102021-06-10 Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report Frampton, Jennifer Rothstein, Eric Iribarne, Alexander Powell, Richard Young, Michael N Eur Heart J Case Rep 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 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. Oxford University Press 2021-05-16 /pmc/articles/PMC8189310/ /pubmed/34124565 http://dx.doi.org/10.1093/ehjcr/ytab157 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Frampton, Jennifer
Rothstein, Eric
Iribarne, Alexander
Powell, Richard
Young, Michael N
Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title_full Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title_fullStr Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title_full_unstemmed Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title_short Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
title_sort percutaneous management strategies for stemi with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report
topic Case Report
url 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
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