Coronary Arteriovenous Fistula: A Case Report

Authors

  • MZ Chowdhury Department of Cardiology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Ibrahim Medical College, Dhaka
  • MA Bari Department of Cardiology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Ibrahim Medical College, Dhaka
  • AR Khan Department of Cardiology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Ibrahim Medical College, Dhaka
  • AK Miah Department of Cardiology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Ibrahim Medical College, Dhaka

DOI:

https://doi.org/10.3329/imcj.v1i1.2892

Keywords:

Coronary Artery, abnormalities

Abstract

The prevalence of congenital abnormalities of coronary artery is about 2% of general population. Of these abnormalities 5% were related to coronary artery fistulae (CAF). We report a case of 66 year old diabetic woman who presented with retrosternal chest pain. Her chest pain was associated with exercise and progressively deteriorated over the last 6 months. Electrocardiography showed right bundle branch block and Echo Color Doppler revealed hypo kinetic lateral wall. Coronary angiogram detected nothing abnormal except an aberrant tortuous branch of left circumflex. CT scan revealed a calcified sac medial to the descended thoracic aorta. A contrast enhancement was also done. All these imaging impressions were suggestive of coronary-to-pulmonary fistula.

Key Words: Coronary Artery; abnormalities

Ibrahim Med. Coll. J. 2007; 1(1): 32-33    

doi: 10.3329/imcj.v1i1.2892

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Author Biography

MZ Chowdhury, Department of Cardiology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Ibrahim Medical College, Dhaka

Dr. MZ Chowdhury, Department of Cardiology, Ibrahim Medical College & BIRDEM
122 Kazi Nazrul Islam Avenue, Shahbag, Dhaka-1000

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Published

2009-07-24

How to Cite

Chowdhury, M., Bari, M., Khan, A., & Miah, A. (2009). Coronary Arteriovenous Fistula: A Case Report. Ibrahim Medical College Journal, 1(1), 32–33. https://doi.org/10.3329/imcj.v1i1.2892

Issue

Vol. 1 No. 1 (2007)

Section

Case Reports