30Nov 2017

ATYPICAL CHEST PAIN: A CASE REPORT.

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A 56-year-old female patient was referred to our institution for atypical chest pain and palpitations. Physical examination, resting ECG and transthoracic echocardiogram were unremarkable. Stress perfusion scintigraphy was positive for anterior and apical myocardial ischaemia. A subsequent coronary angiogram showed no signs of atherosclerotic coronary artery disease; however, it revealed a coronary arteriovenous fistula and multiple other fistulous connections between the proximal segment of the left coronary artery and the pulmonary artery trunk. We present a rare case of a symptomatic coronary fistula that was percutaneously closed using an Amplatzer Vascular Plug, which resulted in clinical improvement and late fistula occlusion. This case report underlines the importance of thinking beyond atherosclerosis in the evaluation of chest pain syndromes. Moreover, it describes some of the angiogram caveats in assessing the coronary fistula number and morphology, as well as the cardiac-catheter potential for multiple pathway coronary artery fistulae closer.

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[ Shehab mesfer Almalki, Azzah atitallah alzahrani, Nouran Taha Melibary, Lina Ahmed Wasfi, Ruaa Omar Nughays, Rafif zahir hassan, Mohammed Ayed Aljuaid and Abdulrahman Saleh M Alotaibi. (2017); ATYPICAL CHEST PAIN: A CASE REPORT. Int. J. of Adv. Res. 5 (Nov). 1489-1494] (ISSN 2320-5407). www.journalijar.com

Azzah atitallah alzahrani
king faisalhospital - saudi arabia

DOI:

Article DOI: 10.21474/IJAR01/5925      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5925

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