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Rupture occurs in 35% of cases and can lead to life-threatening fistulas, predominantly involving the right ventricle or right atrium.Description of Case:62-year-old female with hypertension and hypothyroidism presented to the ER with progressively worsening dyspnea over the past week. She had cardiothoracic surgery for fistula repair.
It’s judicious, then, to arrange for coronaryangiogram. Coronary occlusion, however, might be present concurrently with subendocardial ischemia on the time-zero ECG, or evolve into such. Proximal LAD disease with/without a) and b) It seemed quite apparent that this was an Acute Coronary Syndrome. CoronaryAngiogram 1.
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