Percutaneous management strategies for STEMI with coexisting aneurysmal coronary- to-pulmonary artery fistula: a case report.
作者信息
Frampton Jennifer, Rothstein Eric, Iribarne Alexander, Powell Richard, Young Michael N
机构信息
Section of Cardiovascular Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03766, USA.
Section of Cardiac Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03766, USA.
出版信息
Eur Heart J Case Rep. 2021 May 16;5(5):ytab157. doi: 10.1093/ehjcr/ytab157. eCollection 2021 May.
BACKGROUND
Coexistence of coronary artery fistulas and atherosclerotic coronary artery disease (CAD) is rare.
CASE SUMMARY
We present a unique case of a patient initially presenting with an anterior ST-elevation myocardial infarction, subsequently found to have two-vessel CAD and an aneurysmal left coronary-to-right pulmonary artery fistula.
DISCUSSION
After discussion with the patient and a multidisciplinary discussion with the heart team, consisting of cardiovascular surgery, interventional cardiology, and vascular surgery, a percutaneous approach was chosen. He underwent successful multivessel percutaneous coronary intervention followed by fistula embolization.
Zotero 插件