Dilated coronary arterial obstruction due to coronary artery microfistulae

Hideki Kawai; Sadako Motoyama; Masayoshi Sarai; Yukio Ozaki

doi:10.1016/j.jcct.2013.11.003

Dilated coronary arterial obstruction due to coronary artery microfistulae

J Cardiovasc Comput Tomogr. 2013 Nov-Dec;7(6):417-8. doi: 10.1016/j.jcct.2013.11.003. Epub 2013 Nov 7.

Authors

Hideki Kawai¹, Sadako Motoyama², Masayoshi Sarai², Yukio Ozaki²

Affiliations

¹ Department of Cardiology, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan. Electronic address: hkawai@fujita-hu.ac.jp.
² Department of Cardiology, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.

PMID: 24331938
DOI: 10.1016/j.jcct.2013.11.003

Abstract

An 80-year-old asymptomatic man presented with ST-segment elevation in leads V1 to V5. Coronary CT angiography showed that microfistulae arising from multiple arteries may have led to myocardial infarction from intracoronary thromboembolism within the dilated left anterior descending (LAD).

Keywords: Coronary artery microfistulae; Myocardial infarction.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Arterio-Arterial Fistula / complications*
Arterio-Arterial Fistula / diagnostic imaging*
Coronary Angiography / methods*
Coronary Stenosis / diagnostic imaging*
Coronary Stenosis / etiology*
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnostic imaging*
Diagnosis, Differential
Dilatation, Pathologic / diagnostic imaging
Dilatation, Pathologic / etiology
Humans
Male
Tomography, X-Ray Computed / methods