| CASE REPORT |
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| Year : 2018 | Volume
: 6
| Issue : 1 | Page : 33-35 |
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A humungous coronary cameral fistula, silent till sixth decade of life!
Rahul Shewale, Naresh Munot, Himanshu Yadav, Sameer Pagad
Department of Cardiology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
Correspondence Address:
Rahul Shewale
1511, Doctor Quarters, MRC Building, Bombay Hospital, Marine Lines, Mumbai - 400 020, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/heartindia.heartindia_10_18
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We report a case of coronary cameral fistula arising from the left circumflex artery (LCX) draining into the coronary sinus. This 55-year-old male, with no prior symptoms or risk factors, presented with sudden-onset palpitations and sweating. Contrast enhanced computed tomography coronary angiogram as well as conventional coronary angiography revealed a hugely dilated extremely tortuous fistula from the LCX draining into the coronary sinus. This case is unique because of such a giant fistula remained totally asymptomatic till the sixth decade of life and with no perfusion defect on myocardial perfusion imaging.
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