Recurrent Myocardial Infarction in a Patient with an Arteriovenous Coronary Fistula and No Coronary Artery Disease

被引:0
|
作者
Marcaccini, Sandro [1 ]
Templin, Christian [1 ]
Manka, Robert [1 ]
Stampfli, Simon F. [1 ]
机构
[1] Univ Zurich Hosp, Univ Heart Ctr, Dept Cardiol, Zurich, Switzerland
关键词
myocardial infarction; coronary fistula; coronary spasm; coagulation;
D O I
10.1055/s-0034-1396342
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Myocardial infarction in the absence of coronary artery disease is a rare finding. Mechanisms leading to infarction include paradoxical embolism, coronary dissection, coronary spasm, hypercoagulable states, vasculitis, or-in presence of a coronary fistula-a steal phenomenon. We report for the first time a case of a patient with an arteriovenous coronary fistula and no coronary artery disease, suffering from three incidents of myocardial infarction in three different coronary regions-of which only one was located in the area supplied by the coronary artery connected to the fistula.
引用
收藏
页码:131 / 133
页数:3
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