Surgical Correction of Aneurysmal Dilatation in a Coronary Cameral Fistula: A Case Report

Coronary cameral fistula (CCF) is an uncommon congenital anomaly that is typically discovered incidentally or may manifest with symptoms of angina. We present a case of CCF originating from the right coronary artery (RCA) and extending to the main pulmonary artery (MPA), characterized by aneurysmal dilatation at the pulmonary artery end. The patient presented with angina and exhibited ischemic changes in the inferior leads on electrocardiography. Additionally, the patient had coexisting stenosis of the left anterior descending artery (LAD). Consequently, the patient underwent a successful surgical closure of the fistula, along with surgical revascularization of the LAD.