A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary's Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to resolve the patient's atrial fibrillation, but failed. However, a fistula between the left circumflex artery and the bilateral bronchial arteries was found on computed tomography. Fistula ligation and a ...

In repairing coronary arteriovenous fistula (CAVF), it is very important to interrupt the fistulous tract without compromise of normal coronary vessel flow. In our case, selective coronary arteriography showed that the CAVF from the left anterior descending coronary artery (LAD) was very close to the native coronary artery and had a very broad and short neck. We describe a simple and useful app...

Background: A coronary artery fistula (CAF) is an aberrant vascular contact of arteries with cardiac chambers or any section the pulmonary systemic circulation, which accounts for 0.3% congenital heart disorders. CAFs have been observed to be as common 0.9% at computed tomographic (CT) angiography, greater than previously estimated prevalence 0.002 – invasive angiography.
 Case Summary: 76...

A coronary artery-right ventricular fistula developed after endomyocardial biopsy in a recipient of an orthotopic cardiac transplant.

We present a case of 48-year-old male who presented with coronary artery fistula draining into left ventricle. Transthoracic echocardiography showed abnormal blood flow draining into left ventricle, with enlarged coronary arteries and multiple vascular structures around ventricular myocardium. Coronary computed tomography revealed dilatation of entire left coronary artery which was wrapping aro...

BACKGROUND Coronary fistulae are occasionally detected using echocardiography or coronary angiography. We report a patient with cardiac tamponade because of a ruptured aneurysm of a coronary artery fistula. CASE PRESENTATION A 60-year-old man was referred to our hospital with sudden onset of chest pain and unconsciousness. He was initially diagnosed with cardiac tamponade for type A acute aor...

A 57-year old previously healthy male presented following an episode of sudden-onset central chest tightness and syncope whilst driving. There was no prior history of such episodes. Baseline observations, physical examination, electrocardiograph and chest radiograph were all normal. Cardiac biomarkers were negative and transthoracic echocardiography revealed a structurally and functionally norm...

Coronary artery fistula arising from both the right coronary artery and the circumflex coronary artery is rare. A 28-year-old woman with non-insulin-dependent diabetes mellitus and end-stage renal disease who was on regular hemodialysis complained of recent progressive exertional dyspnea. Congestive heart failure was diagnosed during work-up for simultaneous kidney and pancreas transplantation....