We present the case of a 42-year-old man admitted to our hospital for non-Q-wave acute myocardial infarction. Following treatment with aspirin plus clopidogrel, enoxaparin, atenolol, and nitroglycerin, early elective coronary angiography was performed and a severe, long, irregular stenotic lesion was found in the middle segment of the right coronary artery. Because of the anticipated difficulty...

The surgical and transcatheter coil closure of coronary arterial fistulas are described in the literature. We report our experience with the successful transcatheter closure of a coronary arterial fistula, arising from the left coronary artery and draining into the right ventricle, with the new Amplatzer duct occluder II device.

Ghosh GC, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223030 Description A 68-year-old man presented with history of postprandial angina for 6 months. He was a diabetic and hypertensive for 10 years. He was also a reformed smoker with 20 pack-years history of smoking. He did not give any history of acute coronary syndrome or any cardiac catheterisation. Clinical examination was unremarkable....

A 56-year-old man with no known cardiac risk factors presented with dyspnea upon exertion. The vital signs were normal. Echocardiography showed normal left ventricular (LV) ejection fraction and no valvular disease, but moderate LV hypertrophy and LV diastolic dysfunction were noted. Rest and stress myocardial perfusion scintigraphy showed a reversible inferior-wall perfusion defect; therefore,...