title: Coronary artery fistula with anomalous coronary artery origin: a case report.
abstract: Congenital anomalies of the coronary arteries occur in 0.2% to 1.2% of the general population. Most coronary artery anomalies are found incidentally during angiographic evaluation for other cardiac diseases. We describe the case of a young woman presenting with chest discomfort and fatigue where echocardiography identified a coronary artery fistula. Successful embolization of the coronary artery fistula was performed. To our knowledge, this is a unique case of an anomalous coronary artery and a fistulous anomaly in the same patient. This report describes the echocardiographic diagnosis, and the feasibility of a transcatheter management decision to avoid cardiopulmonary bypass in a patient in whom blood products are contraindicated.
authors.affiliation: Department of Cardiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
authors.forename: Sahar S
authors.initials: SS
authors.lastname: Abdelmoneim
authors.forename: Farouk
authors.initials: F
authors.lastname: Mookadam
authors.forename: Sherif E
authors.initials: SE
authors.lastname: Moustafa
authors.forename: David R
authors.initials: DR
authors.lastname: Holmes
mesh_terms: D000328:Adult; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging*; D006801:Humans; D014463:Ultrasonography