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HERDIN Record #: NCR-PHC-18020913580889 Submitted: 09 February 2018 Modified: 09 February 2018

Congenital coronary arterial fistula from the left coronary artery via left circumflex artery draining to the coronary sinus and left atrium: a case report.

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A coronary artery fistula is a communication between a coronary artery and a cardiac chamber or vein. It is a rare congenital anomaly seen in 0.1%-0.2% of coronary angiograms. Those that drain into the left side of the heart are even rarer: only 5% of fistulas drain into the left atrium, 3% into the left ventricle. The author reports a patient presenting with easy fatigability, palpitations, and chest heaviness on exertion. Imaging done at the Philippine Heart Center revealed a coronary arterial fistula from the left coronary artery via the left circumflex artery draining to the coronary sinus a left atrium. Plan is to do ligation of the anomaly.

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Philippine Heart Center Medical Library CR.024.14 Fulltext Print Format