Exercise-induced ventricular arrhythmia due to bilateral coronary to pulmonary artery fistulas

Frederic De Roeck; Constantijn Franssen; Daniel De Wolf; Steven Haine

doi:10.1002/ccd.28108

Exercise-induced ventricular arrhythmia due to bilateral coronary to pulmonary artery fistulas

Catheter Cardiovasc Interv. 2019 Jul 1;94(1):112-116. doi: 10.1002/ccd.28108. Epub 2019 Jan 27.

Authors

Frederic De Roeck¹, Constantijn Franssen¹, Daniel De Wolf^{1

2}, Steven Haine^{1

3}

Affiliations

¹ Department of Cardiology, Antwerp University Hospital, Edegem, Belgium.
² Department of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.
³ Cardiology, Department of Translational Pathophysiological Research, University of Antwerp, Wilrijk, Belgium.

PMID: 30688018
DOI: 10.1002/ccd.28108

Abstract

Ischemic polymorphic ventricular ectopy was documented during exercise testing in a 65-year-old Caucasian male patient. Coronary angiogram revealed four coronary to pulmonary artery fistulas (CPAFs) originating from the right and left coronary artery, leading to myocardial ischemia due to steal phenomenon. The three dominant fistulas were coiled percutaneously, while one small fistula was left untreated. During follow-up, no significant residual ventricular arrhythmia was detected.

Keywords: CAF; CAVF; CPAF; coronary artery fistula; coronary fistula; steal phenomenon.

Publication types

Case Reports
Review
Video-Audio Media

MeSH terms

Aged
Arterio-Arterial Fistula / complications*
Arterio-Arterial Fistula / diagnostic imaging
Arterio-Arterial Fistula / physiopathology
Arterio-Arterial Fistula / therapy
Coronary Angiography
Coronary Circulation
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnostic imaging
Coronary Vessel Anomalies / physiopathology
Coronary Vessel Anomalies / therapy
Embolization, Therapeutic / instrumentation
Exercise Test*
Hemodynamics
Humans
Magnetic Resonance Imaging
Male
Myocardial Ischemia / diagnostic imaging
Myocardial Ischemia / etiology*
Myocardial Ischemia / physiopathology
Predictive Value of Tests
Pulmonary Artery / abnormalities*
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / physiopathology
Treatment Outcome
Ventricular Premature Complexes / diagnosis
Ventricular Premature Complexes / etiology*
Ventricular Premature Complexes / physiopathology