Abstract
A 40-year-old man was hospitalized in the coronary care unit with chest pain and abnormal electrocardiogram. Twenty days earlier, the patient underwent laparoscopic gallbladder surgery. Due to chest pain and ischemic ECG changes, patient was subjected to coronary angiography. The selective coronary angiography revealed multiple multilateral fistulae arising from the left anterior descending artery, circumflex artery, and the right coronary artery draining to the left ventricle. Multislice computed tomography showed hypoplastic coronary sinus and minor cardiac venous system.
Highlights
Coronary-cameral fistulae are rare congenital or acquired malformation with a direct connection between the coronary arteries and heart chambers
Most of them arise from the right coronary artery and drainage to the right side of the heart [3]
Due to chest pain and ischemic ECG changes patient was subjected to invasive cardiology investigation
Summary
Coronary-cameral fistulae are rare congenital or acquired malformation with a direct connection between the coronary arteries and heart chambers. The incidence of coronary artery ventricular fistulae was about 0.1% of congenital cardiac malformation and patients undergoing the coronary angiography [1, 2]. Most of them arise from the right coronary artery and drainage to the right side of the heart [3]. Multiple coronary artery fistulae originating from both the left and right coronary arteries are very rare [4]. Coronarycameral fistulae mostly present as angina pectoris, syncope, myocardial infarction, heart failure, and cardiac arrhythmia
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
