title: Symptomatic Coronary Cameral Fistula.
abstract: Coronary cameral fistula is a rare entity and is characterized by an abnormal communication between coronary artery and a cardiac chamber. It is usually congenital and asymptomatic in majority of patients. If symptomatic the patients usually present in childhood. We present a case of 45-year-old male who presented with anginal chest pain and dyspnea on exertion for last 1 year. His exercise treadmill test was positive for ischemic changes and ECG-gated contrast enhanced CT was done for further evaluation. CT showed a large right coronary artery to right atrium fistula. It also ruled out any coronary atherosclerosis as reason for chest pain and ischemic symptoms on exercise treadmill test. The fistula was successfully closed by surgery and there was resolution of chest pain and dyspnea.
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA ; Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
authors.forename: Prashant
authors.initials: P
authors.lastname: Nagpal
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Ashish
authors.initials: A
authors.lastname: Khandelwal
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA ; Department of Radiology, Cardiothoracic Imaging, UT Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Sachin S
authors.initials: SS
authors.lastname: Saboo
authors.affiliation: Department of Internal Medicine, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
authors.forename: Gunjan
authors.initials: G
authors.lastname: Garg
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Steigner
keywords: Chest pain; computed tomography; congenital; coronary fistula