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Frontiers in cardiovascular medicine
2023;10 1238034.

Case report: Right coronary artery to left ventricular fistula complicated with coronary artery dilation presenting as persistent cardiogenic ischemic chest pain.

Yuehai Wang, Yuqiang Zhang, Fei Wang, Yuzeng Xue
Author Information
  1. Yuehai Wang: Cardiology Department, Liaocheng People's Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, China.
  2. Yuqiang Zhang: Cardiology Department, Liaocheng People's Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, China.
  3. Fei Wang: Department of Cardiology, Shandong Corps Hospital of Chinese People's Armed Police Forces, Jinan, China.
  4. Yuzeng Xue: Cardiology Department, Liaocheng People's Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, China.
PMID: 37771664 DOI: 10.3389/fcvm.2023.1238034

Abstract

We reported a patient with a fistula of the right coronary artery to the left ventricle, accompanied by dilation of the right coronary artery and persistent chest pain. This patient underwent surgical fistula closure surgery, but the fistula recurred. Persistent chest pain reappeared after encountering COVID-19 infection. We analyzed the mechanism of persistent myocardial ischemic chest pain caused by coronary artery fistula in this patient, the impact of surgery on the patient's disease, the possible mechanism of COVID-19 causing persistent ischemic chest pain in this patient, and the possible mechanism of metoprolol in alleviating myocardial ischemic chest pain in this patient.

Keywords

COVID-19 coronary artery dilation endothelin-1 ischemic chest pain right coronary artery fistula steal phenomenon β-blocker

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Case Reports Journal Article
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