AI Article Synopsis

  • * A case is presented involving a patient who experienced an ST-elevation myocardial infarction and was later diagnosed with two-vessel CAD and a left coronary-to-right pulmonary artery fistula.
  • * The heart team decided on a percutaneous treatment approach, successfully performing multivessel coronary intervention and embolizing the fistula.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189310PMC
http://dx.doi.org/10.1093/ehjcr/ytab157DOI Listing

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