A rare combination of LMCA fistula to left superior vena cava with drainage into the coronary sinus in a 74-year-old woman.
Coronary artery fistulae are rare anomalies in which a communication is present between a coronary artery and either a cardiac chamber or another vascular structure, such as the pulmonary artery or coronary sinus. Most fistulae are congenital in origin, but they can also occur as a result of chest trauma or endocardial biopsy. The presence of a fistula is a rare occurrence in itself, but the different origins and drainage sites of fistulae are what make them even more rare. We report the case of a 74-year-old woman with a history of progressive congestive heart failure who was found to have a large left main coronary fistula draining into a persistent left superior vena cava to a markedly dilated and aneurysmal coronary sinus.
Division of Cardiology, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA.
Amgad N
AN
Makaryus
Richard
R
Stechel
Stephen
S
Green
D000368:Aged; D001158:Arteries / Q000002:abnormalities*; D001164:Arteriovenous Fistula / Q000209:etiology*; D003323:Coronary Aneurysm / Q000209:etiology; D003330:Coronary Vessel Anomalies / Q000150:complications*; D005260:Female; D006801:Humans; D014683:Vena Cava, Superior / Q000002:abnormalities*