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Catheter Cardiovasc Interv. 2019 Jan 27. doi: 10.1002/ccd.28108. [Epub ahead of print]

Exercise-induced ventricular arrhythmia due to bilateral coronary to pulmonary artery fistulas.

Author information

1
Department of Cardiology, Antwerp University Hospital, Edegem, Belgium.
2
Department of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.
3
Cardiology, Department of Translational Pathophysiological Research, University of Antwerp, Wilrijk, Belgium.

Abstract

Ischemic polymorphic ventricular ectopy was documented during exercise testing in a 65-year-old Caucasian male patient. Coronary angiogram revealed four coronary to pulmonary artery fistulas (CPAFs) originating from the right and left coronary artery, leading to myocardial ischemia due to steal phenomenon. The three dominant fistulas were coiled percutaneously, while one small fistula was left untreated. During follow-up, no significant residual ventricular arrhythmia was detected.

KEYWORDS:

CAF; CAVF; CPAF; coronary artery fistula; coronary fistula; steal phenomenon

PMID:
30688018
DOI:
10.1002/ccd.28108

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