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Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 33-35

A humungous coronary cameral fistula, silent till sixth decade of life!

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
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Source of Support: None, Conflict of Interest: None

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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