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Case Reports
. 2014 Jan;29(1):60-3.
doi: 10.5001/omj.2014.13.

Coronary fistulas: a case series

Fennich Nada  1 , Elouali Fedoua  1 , Saghi Ghita  1 , Bouzammour Nadia  1 , Haddour Leila  1 , Zarzur Jamila  1 , Cherti Mohamed  1
Affiliations
Case Reports

Coronary fistulas: a case series

Fennich Nada et al. Oman Med J. 2014 Jan.

Abstract

Coronary artery fistula is an uncommon finding during angiographic exams. We report a case series of five patients with congenital coronary fistulas. The first patient was 56 years old and had a coronary fistula associated with a partial atrio ventricular defect, the second patient was 54 years old and had two fistulas originating from the right coronary artery with a severe atherosclerotic coronary disease, the third patient was 57 years old with a fistula originating from the circumflex artery associated with a rheumatic mitral stenosis, the fourth patient was 50 years old and had a fistulous communication between the right coronary artery and the right bronchial artery, and the last patient was 12 years old who had bilateral coronary fistulas draining into the right ventricle with an aneurismal dilatation of the coronary arteries. Angiographic aspects of coronary fistulas are various; management is controversial and depends on the presence of symptoms.

Keywords: Coronary anomaly; Coronary fistula.

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Figures

Figure 1
Figure 1
Right anterior oblique caudal view showing the fistulous communication between the left coronary system and the right atrium. LAD: left anterior descending artery; CX: circumflex artery
Figure 2
Figure 2
Left anterior oblique cranial view showing the two coronary fistulas originating from the right coronary artery and draining into the right atrium and the coronary sinus. RCA: right coronary artery
Figure 3
Figure 3
Straight posteroanterior view showing a coronary fistula originating from the circumflex artery.
Figure 4
Figure 4
Left anterior oblique cranial view showing the coronary fistula between the right coronary artery and the right bronchial artery. RCA: right coronary artery
Figure 5
Figure 5
View of the coronary fistula between the proximal left anterior descending artery and the right ventricle. LMT: left main trunk; LAD: left anterior descending artery.
See this image and copyright information in PMC

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