Acute Coronary Syndrome with Av Malformation  � A Rare Presentation

Dr Kamal Lochan Behera; Dr Samir Kumar Panda; Y Aiswarya; Dr G Swaranalatha

Volume : III, Issue : XI, November - 2013

Acute Coronary Syndrome with Av Malformation � A Rare Presentation

Dr Kamal Lochan Behera, Dr Samir Kumar Panda, Y Aiswarya, Dr G Swaranalatha

Abstract :

Vascular malformations of the heart are very. Rare Only a few type arteriovenous of malformations were reported. Cardiac Arterio venous malformation (AVM) , which are intramural conglomerates of malformed arteries and veins fed by one of the coronary arteries have been reported incidentally. Its incidence is about 0.002% of the general population. We report a case of 62 yr old male, smoker who presented to the emergency department with tightness of chest and shortness of eath since 10days .He was a known hypertensive and on regular medication since 6yrs .His echo showed no regional wall motion abnormality with degenerative aortic valve disease and sever concentric left ventricular hypertrophy .Then coronary angiogram was done which showed Coronary artery disease(CAD), two vessel disease with multiple AVMs and normal left ventricular function. He was advised for coil embolization and revascularization. Coil embolization was done and patient is under follow up