Journal of
Clinical Medicine and Research

  • Abbreviation: J. Clin. Med. Res.
  • Language: English
  • ISSN: 2141-2235
  • DOI: 10.5897/JCMR
  • Start Year: 2009
  • Published Articles: 103

Review

Interesting case of coronary artery fistula and coronary anomaly resulting in coronary steal with literature review

Aman Hamdan
  • Aman Hamdan
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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Jayanth Koneru
  • Jayanth Koneru
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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Nishant Gupta
  • Nishant Gupta
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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Yazan Al-Khouri
  • Yazan Al-Khouri
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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Fayez E. Shamoon
  • Fayez E. Shamoon
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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Mahesh Bikkina
  • Mahesh Bikkina
  • Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical center Paterson, Seton Hall University, New Jersey, United State.
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  •  Accepted: 12 June 2012
  •  Published: 31 July 2012

Abstract

Coronary artery fistulae are rare and abnormal communications between a coronary artery and a great vessel, which may shunt blood flow away from the myocardial capillary network causing steal phenomenon. We present a 47-year-old man with a unique arteriovenous fistula originating from the proximal portion of the left main coronary artery and entire left anterior descending artery, which then reconstitutes to form a branch of the left pulmonary artery.

 

Key words: Coronary artery fistula, coronary steal phenomenon, coronary artery anomaly, A-V fistula.