title: Coronary anomaly and coronary artery fistula as cause of angina pectoris with literature review.
abstract: Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.
authors.affiliation: Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA.
authors.forename: Jayanth
authors.initials: J
authors.lastname: Koneru
authors.forename: Anish
authors.initials: A
authors.lastname: Samuel
authors.forename: Meherwan
authors.initials: M
authors.lastname: Joshi
authors.forename: Aiman
authors.initials: A
authors.lastname: Hamden
authors.forename: Fayez E
authors.initials: FE
authors.lastname: Shamoon
authors.forename: Mahesh
authors.initials: M
authors.lastname: Bikkina