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Coronary-Cameral Fistula and Coronary Ectasia as a Prelude to Ischemia in the Absence of Obstructive Disease-A Case Report | OMICS International | Abstract
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

Coronary-Cameral Fistula and Coronary Ectasia as a Prelude to Ischemia in the Absence of Obstructive Disease-A Case Report

Mahek Shah1, Soumya Patnaik1*, Alejandro Delgado1, Saranya Buppajarnthum1, Parichart Junpaparp1, Supakanya Wongrakpanich1and Vincent M. Figueredo2
1Department of Medicine, Einstein Medical Center, Philadelphia, PA 19141, USA
2Division of Cardiology, Einstein Medical Center, Philadelphia, PA 19141, USA
Corresponding Author : Soumya Patnaik
Albert Einstein Medical Center, 5501 Old York Road
Klein 363, Philadelphia 19141, USA
Tel: 215-421-7388
E-mail: [email protected]; [email protected]
Received: September 20, 2015; Accepted: October 13, 2015; Published: October 20, 2015
Citation: Shah M, Patnaik S, Delgado A, Buppajarnthum S, Junpaparp P, et al. (2015) Coronary-Cameral Fistula and Coronary Ectasia as a Prelude to Ischemia in the Absence of Obstructive Disease-A Case Report. J Cardiovasc Dis Diagn 3:227. doi:10.4172/2329-9517.1000227
Copyright: © 2015 Shah M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A coronary artery fistula is a communication between a coronary artery and a chamber of the heart (coronary-cameral fistula). Coronary ectasia is the luminal dilatation of the adjacent normal segment, believed to be a form of atherosclerotic process, and is reported in about 3-8% of patients undergoing coronary angiogram. Coronary-cameral fistula and coronary ectasia, when existing concurrently, may present as a prelude to ischemia even in the absence of obstructive disease. We report here one such case seen in an elderly female. She presented with recurrent episodes of angina despite the absence of occlusive coronary artery disease. We also review the literature.

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