Send to

Choose Destination
See comment in PubMed Commons below
Int J Cardiol. 2010 Apr 15;140(2):e30-3. doi: 10.1016/j.ijcard.2008.11.074. Epub 2009 Jan 9.

Myocardial ischemia secondary to dual coronary artery fistulas draining into main pulmonary artery.


Bilateral coronary artery to pulmonary artery fistulas is an uncommon congenital anomaly. These fistulas have a clinical and embryological significance. We report a rare case of combination of right coronary and left circumflex coronary fistula draining into main pulmonary artery, who presented in the emergency room with acute pain chest. The fistula had significant 1.7:1 left to right shunt and also myocardial ischemia as demonstrated by exercise Thallium(201) SPECT myocardial imaging. He was managed conservatively during the last 5 years without any percutaneous or surgical intervention.

Copyright 2008 Elsevier Ireland Ltd. All rights reserved.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk