A rare cause of acute coronary syndrome in a middle-aged woman: Coronary artery fistula

Biji Soman, Rajan Rajesh, Muneer A Rahaman

Heart India 2017 5(3):130-132

Coronary artery fistula is a rare anomaly of the coronary artery. Majority are congenital, rarely, acquired. Large proportions of these are detected incidentally during evaluation of the coronary artery disease. Most of them remain asymptomatic and do not need any active management, for those who are symptomatic both surgical closure and transcatheter closure devices are available. We present a case of middle-aged woman with a history of hypothyroidism and pulmonary hypertension, who presented with acute coronary syndrome and her coronary angiogram revealed a fistula connecting the left anterior descending artery to pulmonary artery.

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