Abstract
Objective: A 35-years-old male patient presented with post anterior myocardial infarction angina. Coronary angiography revealed tight ostio-proximal stenosis of the left anterior descending (LAD) coronary artery, plus bilateral coronary artery fistulas, one originating from the proximal segment of LAD and the other from the proximal segment of circumflex coronary artery. Both fistulas form a network of vessels draining into the pulmonary artery trunk. Successful surgical management was undertaken. Methods: A 35-years-old male patient presented with post anterior myocardial infarction angina. Coronary angiography revealed tight ostio-proximal stenosis of the left anterior descending (LAD) coronary artery, plus bilateral coronary artery fistulas, one originating from the proximal segment of LAD and the other from the proximal segment of circumflex coronary artery. Both fistulas form a network of vessels draining into the pulmonary artery trunk. Successful surgical management was undertaken. Results: A 35-years-old male patient presented with post anterior myocardial infarction angina. Coronary angiography revealed tight ostio-proximal stenosis of the left anterior descending (LAD) coronary artery, plus bilateral coronary artery fistulas, one originating from the proximal segment of LAD and the other from the proximal segment of circumflex coronary artery. Both fistulas form a network of vessels draining into the pulmonary artery trunk. Successful surgical management was undertaken. Conclusions: A 35-years-old male patient presented with post anterior myocardial infarction angina. Coronary angiography revealed tight ostio-proximal stenosis of the left anterior descending (LAD) coronary artery, plus bilateral coronary artery fistulas, one originating from the proximal segment of LAD and the other from the proximal segment of circumflex coronary artery. Both fistulas form a network of vessels draining into the pulmonary artery trunk. Successful surgical management was undertaken.
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