1.
Ital Heart J
; 5(10): 781-4, 2004 Oct.
Artículo
en Inglés
| MEDLINE
| ID: mdl-15626277
RESUMEN
This case report refers to a 46-year-old patient with symptomatic stable angina and myocardial ischemia documented at 99mTc-MIBI SPECT scintigraphy. Coronary angiography revealed a coronary artery fistula (CAF) and a non-significant stenosis of the left anterior descending coronary artery (LAD). We performed coronary angioplasty and stenting of the LAD and closure of the CAF using a covered stent. After the procedure the patient was asymptomatic and a myocardial scintigraphy, performed 6 months later, confirmed the absence of myocardial ischemia. This suggests that a CAF arising before a coronary stenosis may contribute to the genesis of myocardial ischemia, perhaps by giving rise to a steal phenomenon.