ISSN 1016-5169 | E-ISSN 1308-4488
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A very rare cause of continuous murmur and coronary ischemia: high-flow coronary-to-pulmonary artery fistula [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(7): 476-478

A very rare cause of continuous murmur and coronary ischemia: high-flow coronary-to-pulmonary artery fistula

Fehmi Kaçmaz1, Orhan Maden2, Ali Rıza Erbay2, Erdoğan İlkay3
1Cardiology Clinic, Bingol State Hospital, Bingol, Turkey
2Cardiology Clinics, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey
3Department Of Cardiology, Mesa Hospital, Ankara, Turkey

A 52-year-old woman presented with complaints of chest discomfort and angina radiating to the neck and left arm on exertion. She reported that the severity of angina was increasing after sublingual nitrate intake. Coronary angiography showed a high-flow fistula between the left main coronary artery and pulmonary artery. Left coronary arteries were normal, but there was a stenotic lesion in the right coronary artery. Coronary artery fistula was ligated successfully under bypass surgery. It was thought that the severity of myocardial ischemia caused by the high-flow fistula was aggravated by sublingual nitrate due to coronary steal phenomenon.

Keywords: Coronary vessel anomalies/complications, hypertension, pulmonary/etiology, myocardial ischemia/etiology; vascular fistula/complications/surgery

How to cite this article
Fehmi Kaçmaz, Orhan Maden, Ali Rıza Erbay, Erdoğan İlkay. A very rare cause of continuous murmur and coronary ischemia: high-flow coronary-to-pulmonary artery fistula. Turk Kardiyol Dern Ars. 2008; 36(7): 476-478

Corresponding Author: Fehmi Kaçmaz, Türkiye
Manuscript Language: English


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