An unusual case of myocardial ischemia: A case report

Coronary artery fistulas are rare congenital or acquired cardiac abnormalities that are often asymptomatic. Small coronary artery fistulae are not uncommon, detected incidentally and require no treatment. Symptomatic and/or hemodynamically significant coronary artery fistulas must be considered for closure. This report describes the treatment of a proximal coronary artery fistula between the left anterior descending artery and the pulmonary artery in a 66-year-old female patient, who presented with shortness of breath on exertion. Percutaneous intervention was successfully completed with vascular coils.