Percutaneous transcatheter closure of giant coronary artery fistulazing to left ventricular cavity

Coronary-cameral fistula (CCF) is an uncommon congenital or acquired cardiac anomaly, which consists of an abnormal communication between a coronary artery and cardiac chamber. CCFs from the left circumflex coronary arteries are rare involved and drainage to the left ventricle (LV) is less common (less than 3%). We present a 32-year-old man who was admitted to our hospital with a history of fatigue, fever, and dyspnea on exertion. On the physical examination, there was a left parasternal murmur. Transthoracic echocardiography (TTE) showed vegetation on the mitral and aortic valve, and an abscess cavity was observed near the posterior mitral leaflet. With pulsed wave Doppler of the TEE image, the structure that was believed to be an abscess cavity was