Left Main Coronary Artery to Superior Vena Cava Fistula Unmasked by Endarteritis

Hooman Bakhshi; Abra Guo; Behnam Tehrani; James Thompson; Wayne Batchelor

doi:10.1016/j.jaccas.2021.06.025

Left Main Coronary Artery to Superior Vena Cava Fistula Unmasked by Endarteritis

JACC Case Rep. 2021 Oct 20;3(14):1599-1601. doi: 10.1016/j.jaccas.2021.06.025.

Authors

Hooman Bakhshi¹, Abra Guo², Behnam Tehrani¹, James Thompson³, Wayne Batchelor¹

Affiliations

¹ Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
² Department of Internal Medicine, Medstar Georgetown University Hospital, Washington, DC, USA.
³ Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.

Abstract

Coronary artery fistulas are rare vascular malformations that can present with a broad range of symptoms. We present a case of a left main coronary artery to superior vena cava fistula that was discovered during a work-up for sepsis. A multidisciplinary approach is crucial for successful management of these vascular malformations. (Level of Difficulty: Beginner.).

Keywords: AVF, arteriovenous fistula; CT, computed tomography; LMCA, left main coronary artery; SVC, superior vena cava; arteriovenous fistula; coronary fistula; endarteritis; percutaneous closure; septic emboli.