Vindhyal Mohinder, Kolli Lohitha, Kannekanti Naveen, Boppana Venkata
Internal Medicine, University of Kansas School of Medicine, Wichita, USA.
Radiology, University of Kansas School of Medicine, Wichita, USA.
Cureus. 2020 Apr 19;12(4):e7735. doi: 10.7759/cureus.7735.
Chest pain is one of the common complaints a patient presents to the healthcare provider. It needs prompt evaluation to determine the cause and origin. Angina occurs when myocardial oxygen demand exceeds oxygen supply; the clinical manifestation is often chest discomfort. Atherosclerotic disease is the major cause of angina. However, several non-atherosclerotic conditions have been studied and reported in the literature that causes angina in rarity. We describe a case of coronary artery fistula (CAF) likely causing angina.
胸痛是患者向医疗服务提供者提出的常见主诉之一。需要迅速进行评估以确定病因和起源。当心肌需氧量超过供氧量时会发生心绞痛；其临床表现通常为胸部不适。动脉粥样硬化疾病是心绞痛的主要病因。然而，文献中已经研究并报道了几种非动脉粥样硬化性疾病，这些疾病很少会导致心绞痛。我们描述了一例可能导致心绞痛的冠状动脉瘘（CAF）病例。
