• Hippokratia · Apr 2015

    Case Reports

    Coronary artery fistula connecting the left main coronary artery with the superior vena cava.

    • C Nikolaidou and J Gourassas.
    • 1 Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
    • Hippokratia. 2015 Apr 1; 19 (2): 186-8.

    BackgroundCoronary artery fistulas are rare congenital coronary artery abnormalities, with direct communication between a coronary artery and a cardiac chamber, great vessel or other structure.Description Of CaseWe report a case of a large coronary artery fistula connecting the left main coronary artery with the superior vena cava in a 70-year-old patient undergoing diagnostic coronary angiography for a non-ST-segment elevation myocardial infarction. The patient rejected closure of the fistula and remains asymptomatic on follow-up.ConclusionAngiographic recognition of coronary artery fistulas is important for the appropriate diagnosis and management of patients. Hippokratia 2015; 19 (2):186-188.

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