Exercise-induced ventricular arrhythmia due to bilateral coronary to pulmonary artery fistulas.
Frederic De RoeckConstantijn FranssenDaniël De WolfSteven HainePublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Ischemic polymorphic ventricular ectopy was documented during exercise testing in a 65-year-old Caucasian male patient. Coronary angiogram revealed four coronary to pulmonary artery fistulas (CPAFs) originating from the right and left coronary artery, leading to myocardial ischemia due to steal phenomenon. The three dominant fistulas were coiled percutaneously, while one small fistula was left untreated. During follow-up, no significant residual ventricular arrhythmia was detected.
Keyphrases
- coronary artery
- pulmonary artery
- catheter ablation
- left ventricular
- heart failure
- atrial fibrillation
- case report
- coronary artery disease
- pulmonary hypertension
- physical activity
- pulmonary arterial hypertension
- high intensity
- resistance training
- african american
- body composition
- blood brain barrier
- brain injury
- aortic valve
- subarachnoid hemorrhage