“Reverse steal phenomenon” in a patient with coronary artery disease and coronary-left ventricular fistula (original) (raw)

International Journal of Cardiology, 2007

Abstract

Coronary artery fistulas (CAFs) are infrequent congenital malformations, although some may be acquired: iatrogenic (during thoracic surgery or PCI) or traumatic [1,2]. The incidence of CAFs has not been well defined but it is found in less than 0.2% of angiographic examinations. CAFs, even if rarely, may cause heart failure, spontaneous intrapericardial rupture or myocardial ischemia due to coronary “steal phenomenon” [3,4]. The literature reports very few cases of patients where a CAF was associated with a coronary artery disease (CAD) [5]. The consequences of this association on coronary haemodynamics and myocardial blood flow (BF) was poorly investigated.

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