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Huge Aneurysmal Fistula From Left Main Artery to Right Atrium in a Man With Atypical Chest Pain and Dyspnea on Exertion Publisher Pubmed



Bayat F1 ; Baghaei R2 ; Safi M1 ; Aval ZA2 ; Khaheshi I1 ; Naderian M3, 4
Authors
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Authors Affiliations
  1. 1. Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Cardiac Surgery Department, Modarres Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Cardiovascular Research Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Future Cardiology Published:2019


Abstract

We present a 33-year-old man with atypical chest pain and with no significant past medical history. The patient was finally diagnosed as a case of huge fistula from the left main coronary artery to the right atrium, a very rare condition with challenging diagnostic and therapeutic approaches. The majority of cases of coronary artery fistula are small, asymptomatic and clinically undetectable; they frequently do not cause any complications and can spontaneously resolve. However, larger fistulas are frequently three times the size of a typical caliber of a coronary artery and may or may not cause symptoms or complications. © 2019 Future Medicine Ltd.