CORONARY ARTERY FISTULA IN ELDERLY PATIENT WITH ACUTE CORONARY SYNDROME: A CASE REPORT

Abstract

Coronary artery fistulas are congenital or acquired abnormality connections between coronary arteries and other structures. Most patients with coronary fistulas are asymptomatic. An 80-year-old man complained of exercise-induced chest pain. A coronary angiogram on PCI and CTA confirmed stenosis on LAD and a large fistula between the coronary artery and the anterior side of the main pulmonary artery. A transcatheter procedure was successfully conducted. In patients with symptomatic fistula or cases with a complication, cardiac intervention is recommended as the primary treatment. Percutaneous catheterization is the preferred treatment.