An unusual cause of acute coronary syndrome: thrombosis of right coronary artery to right atrium fistula

被引：2

作者：

Khalil, Ghayyur ^{[1
]}

Elbadri, Azza ^{[2
]}

Abbasi, Saddam Hussain ^{[3
]}

Das, Indrajeet ^{[2
]}

Ladwiniec, Andrew ^{[2
]}

机构：

[1] Kettering & Dist Gen Hosp, Kettering, England

[2] Univ Hosp Leicester NHS Trust, Leicester, England

[3] Wrexham Maelor Hosp, Wrexham, Wales

来源：

BMJ CASE REPORTS | 2023年 / 16卷 / 12期

关键词：

Interventional cardiology; Ischaemic heart disease; Radiology (diagnostics); Cardiovascular medicine; Clinical diagnostic tests; ARTERIOVENOUS-FISTULA;

D O I：

10.1136/bcr-2023-257368

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Coronary arterial fistulae are rare, but it is one of the most common coronary artery anomalies. Most of the cases are asymptomatic in younger patients unless it is large and of haemodynamic significance. The incidence of thromboembolic complications usually increases with age. We report a case of a young male in his early 20s presenting with central chest pain. Coronary computed tomographic angiography revealed acute coronary syndrome due to a fistula between right coronary artery and right atrium occluded by thrombus. After discussion with coronary and congenital heart multidisciplinary team, a consensus was agreed that we should manage him conservatively with anticoagulant and antiplatelet therapy and a 3-month follow-up strategy that included repeating cardiac imaging. After a year, his anticoagulation and antiplatelet medication was discontinued.

引用

页数：5

共 19 条

[1] Coronary Artery Fistulas Indications, Techniques, Outcomes, and Complications of Transcatheter Fistula Closure [J].