{"title":"原发性PCI术中获得性冠状动脉摄像瘘模拟冠状动脉穿孔1例","authors":"Souvik Sardar, Krishna Prasad Akkineni, Sumit Kumar, Aseem Basha, Atit A Gawalkar","doi":"10.1016/j.crmic.2025.100075","DOIUrl":null,"url":null,"abstract":"<div><div>Coronary cameral fistulas are rare vascular anomalies, often congenital, with acquired cases being exceedingly uncommon. We report a case of a 73-year-old male presenting with ST-segment elevation anterior wall myocardial infarction (STEMI) complicated by cardiogenic shock. During primary percutaneous coronary intervention (PCI), a contrast blush was noted in the distal left anterior descending artery (LAD), raising suspicion of guidewire-induced coronary perforation which on careful evaluation was an incidentally detected coronary cameral fistula likely related to previous ischemia.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100075"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case of acquired coronary cameral fistula mimicking coronary perforation during primary PCI\",\"authors\":\"Souvik Sardar, Krishna Prasad Akkineni, Sumit Kumar, Aseem Basha, Atit A Gawalkar\",\"doi\":\"10.1016/j.crmic.2025.100075\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Coronary cameral fistulas are rare vascular anomalies, often congenital, with acquired cases being exceedingly uncommon. We report a case of a 73-year-old male presenting with ST-segment elevation anterior wall myocardial infarction (STEMI) complicated by cardiogenic shock. During primary percutaneous coronary intervention (PCI), a contrast blush was noted in the distal left anterior descending artery (LAD), raising suspicion of guidewire-induced coronary perforation which on careful evaluation was an incidentally detected coronary cameral fistula likely related to previous ischemia.</div></div>\",\"PeriodicalId\":100217,\"journal\":{\"name\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"volume\":\"7 \",\"pages\":\"Article 100075\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950275625000218\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275625000218","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A case of acquired coronary cameral fistula mimicking coronary perforation during primary PCI
Coronary cameral fistulas are rare vascular anomalies, often congenital, with acquired cases being exceedingly uncommon. We report a case of a 73-year-old male presenting with ST-segment elevation anterior wall myocardial infarction (STEMI) complicated by cardiogenic shock. During primary percutaneous coronary intervention (PCI), a contrast blush was noted in the distal left anterior descending artery (LAD), raising suspicion of guidewire-induced coronary perforation which on careful evaluation was an incidentally detected coronary cameral fistula likely related to previous ischemia.
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