title: Coronary artery fistula connecting the left main coronary artery with the superior vena cava.
abstract: BACKGROUND
  Coronary artery fistulas are rare congenital coronary artery abnormalities, with direct communication between a coronary artery and a cardiac chamber, great vessel or other structure.
  
  
  METHODS
  We report a case of a large coronary artery fistula connecting the left main coronary artery with the superior vena cava in a 70-year-old patient undergoing diagnostic coronary angiography for a non-ST-segment elevation myocardial infarction. The patient rejected closure of the fistula and remains asymptomatic on follow-up.
  
  
  CONCLUSIONS
  Angiographic recognition of coronary artery fistulas is important for the appropriate diagnosis and management of patients. Hippokratia 2015; 19 (2):186-188.
authors.affiliation: 1 Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: C
authors.initials: C
authors.lastname: Nikolaidou
authors.affiliation: 1 Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.
authors.forename: J
authors.initials: J
authors.lastname: Gourassas
keywords: Coronary artery fistula; coronary abnormalities; left main coronary artery; non-ST-segment elevation myocardial infarction; superior vena cava