Ventricular tachycardia, rheumatic heart disease, and bilateral coronary pulmonary artery fistula: A rare association

Abstract

Coronary-pulmonary artery fistulas are rare congenital or acquired anomalies of the coronary artery that may originate from any of the three major coronary arteries and drain into the right-sided cardiac chambers and or large vessels draining into the pulmonary circulation. A triple combination of ventricular tachycardia, rheumatic heart disease, and bilateral coronary pulmonary fistula is a rare association. A rare combination of observations was detected in a single patient with three distinct etiopathogenesis that is not described in the literature.

Keywords

• chronic rheumatic heart disease
• coronary arteriovenous fistula
• mitral valvulopathy
• ventricular tachycardia