Coronary artery fistula as a bypass of a left anterior descending coronary artery stenosis.

Castedo, E; Oteo, J F; Burgos, R; Ugarte, M; Cristóbal, C; Tebar, E; Ugarte, J · Ann Thorac Surg · 1997

case_report · Level V

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Abstract

We present a case of coronary artery fistula originating from the proximal left anterior descending coronary artery anterior to a critical atheromatous stenosis, draining into the main trunk of the pulmonary artery and with a third branch draining into the coronary vessel itself, distal to the lesion. The diagnosis was made when we were performing a diagnostic coronary arteriography on a patient with unstable angina. The possible association of the fistula and coronary atherosclerosis is discussed.

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