Multiple Coronary Fistulas After Several Penetrating Chest Wounds: A Rare Case of Refractory Heart Failure

Maria J Rodriguez; Sebastian Gallo-Bernal; Camilo A Calixto; Libardo Medina; Elkin J Pardo; Mónica Ocampo González

doi:10.1016/j.jaccas.2020.08.028

Multiple Coronary Fistulas After Several Penetrating Chest Wounds: A Rare Case of Refractory Heart Failure

JACC Case Rep. 2020 Dec 2;3(1):34-38. doi: 10.1016/j.jaccas.2020.08.028. eCollection 2021 Jan.

Authors

Maria J Rodriguez¹, Sebastian Gallo-Bernal¹, Camilo A Calixto¹, Libardo Medina^{2

3}, Elkin J Pardo², Mónica Ocampo González^{2

3}

Affiliations

¹ Division of Heart Failure, Fundación Cardioinfantil, Institute of Cardiology, Bogota, Colombia.
² Universidad de Santander, Bucaramanga, Colombia.
³ Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.

Abstract

Coronary artery fistulas are rare coronary abnormalities. Most of these fistulas have a congenital origin, and only a few are acquired. We report the case of a patient with late-acquired multiple coronary fistulas secondary to a stab wound, diagnosed in the setting of ischemic heart failure secondary to coronary steal syndrome. (Level of Difficulty: Intermediate.).

Keywords: AFib, atrial fibrillation; CAF, coronary artery fistulas; CMR, cardiac magnetic resonance; CT, computed tomography; CxA, circumflex artery; HF, heart failure; HFpEF, heart failure with preserved ejection fraction; LAD, left anterior descending artery; arterioarterial fistulas; coronary artery fistulas; coronary steal syndrome; heart failure; stab wounds.

Publication types

Case Reports