title: Rare multiple fistulas with large saccular aneurysms originating from left anterior descending artery and left main coronary artery.
abstract: A 49-year-old female patient consulted us for a cardiac evaluation before undergoing colon adenocarcinoma surgery. Three years prior, the patient underwent coronary angiography for dyspnea. The coronary angiography examination revealed a fistula originating from the left anterior descending artery and left main coronary artery, which had soft aneurysmal sacs and most likely drained into the pulmonary artery. Parasternal short axis echocardiography revealed a color flow that could be related to the fistula, but the other echocardiographic findings were normal. The patient did not accept the proposed examination and invasive treatment.
authors.affiliation: Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.
authors.forename: Ender
authors.initials: E
authors.lastname: Emre
authors.affiliation: Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.
authors.forename: Mujdat
authors.initials: M
authors.lastname: Aktas
authors.affiliation: Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.
authors.forename: Tayfun
authors.initials: T
authors.lastname: Sahin
authors.affiliation: Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.
authors.forename: Ertan
authors.initials: E
authors.lastname: Ural
authors.affiliation: Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Ural
keywords: Fistula; Left anterior descending; Left main coronary artery; Swinging aneurysmal sacs