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- Title
Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction.
- Authors
Çınar, Tufan; Karabağ, Yavuz; Rencuzogullari, İbrahim; Cağdaş, Metin
- Abstract
Coronary artery fistulas (CAFs) are described as abnormal communications between a coronary artery and cardiac chambers, or other vascular structures. The two types of CAFs are defined as type I (singular fistula) and type II (microfistulas). Even though various electrocardiographic changes have been previously described in CAF patients, coronary-artery microfistulas causing STsegment elevation in diverse locations have not been reported. We describe a case report of an adult patient who presented with acute inferior myocardial infarction due to coronary-artery microfistulas. During the hospital stay, the patient re-experienced chest pain, and control electrocardiography revealed ST-segment elevation in the I and AVL leads along with reciprocal ST-segment depression in the inferior precordial leads. Although CAFs are clinically rare, they can have important clinical consequences. Microfistulas should be kept in mind as a cause of ST elevation myocardial infarction in some patients.
- Subjects
MYOCARDIAL infarction diagnosis; CHEST pain; ELECTROCARDIOGRAPHY; ELECTRODES; ELECTROMYOGRAPHY; ARTIFICIAL implants; MYOCARDIAL infarction; ARTERIOARTERIAL fistula
- Publication
Archives of Iranian Medicine (AIM), 2020, Vol 23, Issue 10, p704
- ISSN
1029-2977
- Publication type
Article
- DOI
10.34172/aim.2020.89