Tag Archives: congenital cardiac anomaly

Background A coronary artery fistula (CAF) is an abnormal connection between a coronary artery and another blood vessel or heart chamber. There is a reported incidence of 0.002% in the general population,1,2 and up to 0.2% in angiographic series.1,3 CAF account for less than 1% of all congenital cardiac anomalies.1 Multiple bilateral coronary fistulae are even less common. We describe a rare case of three CAF, arising from each of the major vessels, and the management approach adopted. Case Figure 1. Right anterior oblique (RAO) cranial view of the left coronary artery. The red arrow denotes the fistulous connection between the coronary