Coronary cameral fistula manifested as angina pectoris in a 40-year old female

Abstract

Coronary cameral fistula (CCF) is defined as an abnormal connection between the coronary artery and any cardiac chamber. It usually appears due to abnormal embryogenesis and represents less than 1% of the population. Most CCF cases are asymptomatic, however large CCFs may cause symptoms and complications. We present a case of a young female with symptomatic CCF suspected on echocardiography and confirmed by computed tomography coronary angiography. She was successfully treated surgically with total improvement of symptoms.

Keywords

• angina pectoris
• coronary cameral fistula
• coronary steal phenomenon
• coronary artery bypass graft