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Symptomatic Coronary Cameral Fistula
Journal article   Open access   Peer reviewed

Symptomatic Coronary Cameral Fistula

Prashant Nagpal, Ashish Khandelwal, Sachin S Saboo, Gunjan Garg and Michael L Steigner
Heart views, Vol.16(2), pp.65-67
2015
DOI: 10.4103/1995-705X.159225
PMCID: PMC4485206
PMID: 26240737
url
https://doi.org/10.4103/1995-705X.159225View
Published (Version of record) Open Access

Abstract

Coronary cameral fistula is a rare entity and is characterized by an abnormal communication between coronary artery and a cardiac chamber. It is usually congenital and asymptomatic in majority of patients. If symptomatic the patients usually present in childhood. We present a case of 45-year-old male who presented with anginal chest pain and dyspnea on exertion for last 1 year. His exercise treadmill test was positive for ischemic changes and ECG-gated contrast enhanced CT was done for further evaluation. CT showed a large right coronary artery to right atrium fistula. It also ruled out any coronary atherosclerosis as reason for chest pain and ischemic symptoms on exercise treadmill test. The fistula was successfully closed by surgery and there was resolution of chest pain and dyspnea.
computed tomography congenital coronary fistula Chest pain Case Report

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