Int J Angiol 2016; 25(02): 131-133
DOI: 10.1055/s-0034-1396342
Case Report
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Recurrent Myocardial Infarction in a Patient with an Arteriovenous Coronary Fistula and No Coronary Artery Disease

Sandro Marcaccini
1   Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
,
Christian Templin
1   Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
,
Robert Manka
1   Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
,
Simon F. Stämpfli
1   Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
12 January 2015 (online)

Abstract

Myocardial infarction in the absence of coronary artery disease is a rare finding. Mechanisms leading to infarction include paradoxical embolism, coronary dissection, coronary spasm, hypercoagulable states, vasculitis, or—in presence of a coronary fistula—a steal phenomenon. We report for the first time a case of a patient with an arteriovenous coronary fistula and no coronary artery disease, suffering from three incidents of myocardial infarction in three different coronary regions—of which only one was located in the area supplied by the coronary artery connected to the fistula.