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Dilated coronary arterial obstruction due to coronary artery microfistulae

Authors:	Hideki Kawai Sadako Motoyama Masayoshi Sarai Yukio Ozaki

Institution:	1. Interventional Pediatric Cardiology, University of Missouri-Kansas City School of Medicine, Ward Family Heart Center, Children''s Mercy Kansas City, Kansas City, MO, United States;2. Interventional Pediatric Cardiology, ICU Cardiology Consult Service, University of Missouri-Kansas City School of Medicine, Ward Family Heart Center, Children''s Mercy Kansas City, Kansas City, MO, United States;3. Pediatric and Fetal Echocardiography, Cardiac High Acuity Monitoring Program (CHAMP), University of Missouri-Kansas City School of Medicine, Ward Family Heart Center, Children''s Mercy Kansas City, Kansas City, MO, United States

Abstract:	An 80-year-old asymptomatic man presented with ST-segment elevation in leads V1 to V5. Coronary CT angiography showed that microfistulae arising from multiple arteries may have led to myocardial infarction from intracoronary thromboembolism within the dilated left anterior descending (LAD).

Keywords:	Coronary artery microfistulae Myocardial infarction
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