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Case Reports in Medicine
Volume 2013, Article ID 708947, 3 pages
Case Report

Coronary Artery Fistula Presenting as Unstable Angina Pectoris in Patients with Antiphospholipid Syndrome

1Adana State Hospital, Department of Cardiology, 01270 Adana, Turkey
2Reyhanli State Hospital, Department of Cardiology, Reyhanli, Hatay, Turkey
3Kızıltepe State Hospital, Department of Cardiology, Kızıltepe, Mardin, Turkey
4Van Education and Research Hospital, Department of Cardiology, Van, Turkey
5Çukurova University, School of Medicine, Department of Cardiology, 01330 Adana, Turkey

Received 12 May 2013; Revised 10 July 2013; Accepted 24 July 2013

Academic Editor: Gianfranco D. Alpini

Copyright © 2013 Şerafettin Demir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The cardiovascular system is one of the primary targets in patients with antiphospholipid syndrome. The valves are the most frequently affected. Atherosclerosis and coronary thrombosis are also seen. The risk of acute coronary syndrome is 10 times higher in patients with APS. We present an APS patient case who was hospitalized with acute coronary syndrome and who was later found to have coronary artery fistula.