Coronary Anomaly and Coronary Artery Fistula as Cause of Angina Pectoris with Literature Review
This article is part of Special Issue:
Jayanth Koneru,
Anish Samuel,
Meherwan Joshi,
Aiman Hamden,
Fayez E. Shamoon,
Mahesh Bikkina,
Corresponding Author
Jayanth Koneru
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorAnish Samuel
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorMeherwan Joshi
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorAiman Hamden
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorFayez E. Shamoon
Seton Hall Cardiology Fellowship Program, St. Micheal’s Medical Center, 111 Central Avenue, Newark, NJ 07102, USA smmcnj.org
Search for more papers by this authorMahesh Bikkina
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorJayanth Koneru,
Anish Samuel,
Meherwan Joshi,
Aiman Hamden,
Fayez E. Shamoon,
Mahesh Bikkina,
Corresponding Author
Jayanth Koneru
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorAnish Samuel
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorMeherwan Joshi
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorAiman Hamden
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorFayez E. Shamoon
Seton Hall Cardiology Fellowship Program, St. Micheal’s Medical Center, 111 Central Avenue, Newark, NJ 07102, USA smmcnj.org
Search for more papers by this authorMahesh Bikkina
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA sjmed.com
Search for more papers by this authorAcademic Editor: N. Espinola-Zavaleta
Academic Editor: A. Janosi
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.
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