Acute Myocardial Infarction Revealing a Thrombotic Right Coronary Artery – Superior Vena Cava Fistula: a case report

Clicks: 14
ID: 326493
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #279 of 408 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 408 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Coronary artery fistulas (CAFs) are rare coronary anomalies that can occasionally lead to thrombotic complications and myocardial infarction. Their diagnosis and management remain challenging due to variable anatomy and low prevalence. Case summary A 29-year-old man presented with inferior ST-segment elevation myocardial infarction five days after orthognathic surgery. Coronary angiography revealed a thrombotic occlusion of the distal right coronary artery (RCA) and a thrombotic fistula arising from the proximal RCA. Successful stenting restored distal flow. Cardiac computed tomography angiography confirmed a right coronary artery–superior vena cava (RCA–SVC) fistula containing thrombus. The patient received dual antiplatelet therapy and anticoagulation. Follow-up imaging at three months showed a patent RCA stent and persistent occlusion of the fistula. Discussion This case illustrates that CAFs, though rare, can lead to acute MI in young adults. CCTA is essential for anatomical assessment, and heart team discussion is key for individualized management.
Reference Key
openalex_W7204223824 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Chaimae Aboueddahab, Mickaël Ohana, Olivier Morel
Are you one of these authors? Claim your profile
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag612
URL
https://doi.org/10.1093/ehjcr/ytag612
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.