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Acute myocardial ischemia in a patient with a congenital coronary artery anomaly - case report

Dariusz Kosior, Krzysztof Putkiewicz, Sławomir Stawicki, Zbigniew Tomik, Przemysław Stolarz, Krzysztof Filipiak, Grzegorz Opolski

Med Sci Monit 1999; 5(3): CS544-548

ID: 504931

Published: 1999-04-30

Case report of a 33-year old male admitted to the hospital due to retrosternal pain lasting for several hours. The ECG on admission demonstrated a profound T-wave inversion in the precordial leads. During hospitalization cardiac enzymes remained within normal limits. We excluded a myocardial infarction. A selective coronary arteriography demonstrated an arterial fistula originating from the LAD and communicating with the left ventricle.

Keywords: Coronary Vessel Anomalies, coronary artery fistula, congenital coronary artery anomalies