Left Anterior Descending Artery to Pulmonary Artery Fistula: A Case Report.

Authors :: George V
Omerovic S
Madala M
Kang A
Source :: Cureus [Cureus] 2022 Jul 10; Vol. 14 (7), pp. e26713. Date of Electronic Publication: 2022 Jul 10 (Print Publication: 2022).
Publication Year :: 2022
Abstract: This case describes a 59-year-old patient who initially presented with symptoms consistent with stable angina and a subsequent diagnosis of non-ST elevation myocardial infarction with further conversion to an ST-elevation myocardial infarction. A left cardiac catheterization was scheduled to evaluate the patient's acute coronary syndrome. He later developed worsening chest pain and a repeat electrocardiogram (ECG) showed ST elevations in anterolateral leads. The patient was emergently transported to the cardiac catheterization lab. The coronary angiogram revealed a proximal left anterior descending artery (LAD) lesion. During the catheterization, abnormal communication between the LAD and the pulmonary artery was discovered and the patient was diagnosed with a coronary artery fistula. This case presents a unique scenario for an ST-elevation myocardial infarction with an incidental diagnosis of a coronary artery fistula.<br />Competing Interests: The authors have declared that no competing interests exist.<br /> (Copyright © 2022, George et al.)