title: Coronary arteriovenous fistulae: the complexity of coronary artery-to-coronary sinus connections.
abstract: Coronary artery fistulae are a rare cardiovascular anomaly. Even less common are multiple fistulae involving more than 1 coronary artery. Herein we report the case of a 47-year-old woman who had fistulae from both the right coronary and left circumflex coronary arteries draining into the coronary sinus. These lesions we attempted to close percutaneously but subsequently closed surgically. We discuss diagnostic imaging approaches, along with closure indications, closure options, and outcomes.
authors: Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27710, USA. todd.kiefer@duke.edu
authors: Todd L
authors: TL
authors: Kiefer
authors: Anna Lisa
authors: AL
authors: Crowley
authors: James
authors: J
authors: Jaggers
authors: J Kevin
authors: JK
authors: Harrison
mesh_terms: D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography / Q000379:methods; D054326:Coronary Sinus / Q000002:abnormalities*; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D004417:Dyspnea / Q000209:etiology; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome