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CASE REPORT
Year : 2015  |  Volume : 16  |  Issue : 2  |  Page : 65-67

Symptomatic coronary cameral fistula


1 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA
2 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
3 Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Radiology, Cardiothoracic Imaging, UT Southwestern Medical Center, Dallas, TX, USA
4 Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA

Correspondence Address:
Dr. Prashant Nagpal
Department of Radiology, Non-invasive Cardiovascular Imaging Program, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.159225

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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.


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