Coronary artery fistula (CAF) is a rare anomaly of the coronary artery. Patients with this condition are usually asymptomatic. However, cardiac failure may occur later in life due to progressive enlargement of the fistula. Diagnosis is traditionally made by echocardiogram and conventional angiogram. However with the advantage of new technologies such as computed tomography (CT) coronary angiogr...

A16-year-old patient, female, diagnosed wwith a coronary artery fistula, was followed in the outpatient clinic since the first year of life. After referral for a murmur, the initial clinical and echocardiographic evaluation was of a right coronary artery fistula. At two years of age, cardiac catheterization showed a small fistula arising from the right coronary artery, near the origin of the si...

We reported the case of a 68-year old male with chest pain. The coronary angiography showed the disease of the left anterior descending coronary artery and, incidentally, an arteriovenous coronary fistula between this coronary branch and the pulmonary artery. The patient underwent off-pump coronary bypass through a left mini thoracotomy. In the present case, after a series of detailed exams, we...

Coronary artery fistula (CAF) with giant aneurysm and accompanied by coronary artery stenosis is a very rare disease. Herein, we report a case of a 76-year-old woman having a complex coronary-to-pulmonary artery fistula associated with a giant aneurysm and accompanied by coronary artery stenosis. The patient was successfully treated using transcatheter coil embolization and coronary stent impla...

A coronary artery fistula (CAF) is defined as a direct connection between with right heart chambers including the atrium, ventricle, sinus, superior vena cava, or pulmonary arteries. Elective closure of by surgery percutaneous transcatheter technique generally accepted in presence symptoms. We report case successful device fistula, originating from circumflex and draining into sinus.

A 65 year-old woman was admitted to our hospital, because of unconsciousness after chest and back pain. Echocardiography showed pericardial effusion. She suffered from pre-shock due to cardiac tamponade. Although a cause of cardiac tamponade was unclear, we performed emergency surgical treatment without coronary angiography. In operation, we found a rupture of coronary arteriovenous fistula and...

Coronary arteriovenous fistula is a rare entity and is mostly diagnosed and corrected in early childhood. We report the case of a 59-year-old female patient who was presented with chest pain during exertion for 3 months because of an aneurysmatic circumflex artery and coronary sinus fistula. We successfully ligated the circumflex artery close to the main stem and to the coronary sinus. The firs...

We report a case of a 57-year-old man with typical angina due to a coronary artery-to-pulmonary artery fistula, which was evident on transthoracic and transesophageal echocardiography with color Doppler flow mapping. The diagnosis was confirmed by coronary angiography. The patient underwent surgical ligation of the fistula. However, repeated transesophageal echocardiography and coronary angiogr...

A 49-year-old man with multiple coronary risk factors, including diabetes mellitus, hypertension, and hyperlipidemia, was referred for coronary angiography for evaluation of mild dyspnea on exertion and atypical chest pains. An exercise nuclear stress test demonstrated mild, reversible ischemia in the mid and distal inferior wall. The patient subsequently underwent cardiac catheterization, whic...