Huge aneurysmal fistula from left main artery to right atrium in a man with atypical chest pain and dyspnea on exertion. (8th March 2019)

• Record Type: Journal Article
• Authors: Bayat, Fariba; Baghaei, Ramin; Safi, Morteza; Aval, Zahra Ansari; Khaheshi, Isa; Naderian, Mohammadreza
• Is Part Of: Future cardiology. Volume 15:Number 2(2019)
• Page Start: 85
• Page End: 88
• Publication Date: 2019-03-08
• Subjects: atria -- coronary vessels -- fistula -- heart; Cardiology -- Research -- Periodicals; 616.12005
• DOI: 10.2217/fca-2018-0015
• Languages: English
• ISSNs: 1479-6678

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.