Abstract
Coronary artery fistula (CAF) is a congenital condition characterized by a pathological
communication between a coronary artery and a systemic vein or one of the cardiac
chambers. Iatrogenic CAFs were reported to develop secondary to the rupture of coronary
aneurysm. Instances of acquired CAF draining into the cardiac chambers have been described
after acute myocardial infarction. Angiography is the gold standard in diagnosing
CAF. We describe the case of a patient who developed a fistula draining into the middle
cardiac vein on the posterior interventricular sulcus, after acute myocardial infarction,
revealed by CT scan.
Keywords
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Article info
Publication history
Published online: September 30, 2010
Accepted:
August 11,
2010
Received:
July 15,
2010
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
