Work

A case of acquired coronary cameral fistula mimicking coronary perforation during primary PCI

Year: 2025

Type: article

Abstract: Coronary cameral fistulas are rare vascular anomalies, often congenital, with acquired cases being exceedingly uncommon. We report a case of a 73-year-old male presenting with ST-segment elevation anterior wall myocardial infarction (STEMI) complicated by cardiogenic shock. During primary percutaneous coronary intervention (PCI), a contrast blush was noted in the distal left anterior descending artery (LAD), raising suspicion of guidewire-induced coronary perforation which on careful evaluation was an incidentally detected coronary cameral fistula likely related to previous ischemia.

Source: Cardiovascular Revascularization Medicine Interesting Cases

DOI: 10.1016/j.crmic.2025.100075

Authors: Souvik Sardar, Krishna Prasad Akkineni, Sumit Kumar, Aseem Basha, Atit A Gawalkar

Institution: All India Institute of Medical Sciences

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $920