Multiple Coronary Fistulas After Several Penetrating Chest Wounds: A Rare Case of Refractory Heart Failure

Abstract

Coronary artery fistulas are rare coronary abnormalities. Most of these fistulas have a congenital origin, and only a few are acquired. We report the case of a patient with late-acquired multiple coronary fistulas secondary to a stab wound, diagnosed in the setting of ischemic heart failure secondary to coronary steal syndrome. (Level of Difficulty: Intermediate.).

Keywords: AFib, atrial fibrillation; CAF, coronary artery fistulas; CMR, cardiac magnetic resonance; CT, computed tomography; CxA, circumflex artery; HF, heart failure; HFpEF, heart failure with preserved ejection fraction; LAD, left anterior descending artery; arterioarterial fistulas; coronary artery fistulas; coronary steal syndrome; heart failure; stab wounds.