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

Author:

Koneru Jayanth1,Samuel Anish1,Joshi Meherwan1,Hamden Aiman1,Shamoon Fayez E.2,Bikkina Mahesh1

Affiliation:

1. Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA

2. Seton Hall Cardiology Fellowship Program, St. Micheal’s Medical Center, 111 Central Avenue, Newark, NJ 07102, USA

Abstract

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.

Publisher

Hindawi Limited

Subject

Aerospace Engineering

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