Coronary Arteriovenous Fistula Secondary to Percutaneous Coronary Intervention of Chronic Total Occlusion

الملخص EN

This is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes.

On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection.

The patient remained stable with no further chest pain.

She was treated with IV Eptifibatide for 48 hours and restudied in 72 hours.

Repeat coronary angiography showed a marginally improved proximal dissection plane with a coronary AV fistula.

She was managed conservatively and discharged with a non-invasive assessment in 8 weeks.

The patient had a negative stress echocardiogram and was managed with maximal medical therapy.