Abstract

Background: A 57-year-old man presented with dyspnea and presyncope on exertion. He had previously been diagnosed with hypertension, hypercholesterolemia and atrial fibrillation. A soft (grade II/VI), dynamic continuous murmur was noted in the mid precordium. Investigations: Electrocardiography, stress echocardiography and coronary angiography. Diagnosis: Right coronary artery to coronary sinus fistula with coronary steal, exertional ischemia and ventricular arrhythmia. Management: Coil embolization of coronary left ventricular fistula.

Original languageEnglish
Pages (from-to)689-692
Number of pages4
JournalNature Clinical Practice Cardiovascular Medicine
Volume3
Issue number12
DOIs
StatePublished - Dec 2006

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