Multiple coronary artery fistulae communicating through a sinusoid and emptying into the left ventricle

Area of Science:

• Cardiology
• Medical Imaging
• Congenital Heart Disease

Background:

• Coronary artery fistulae are uncommon congenital or acquired abnormalities.
• Diagnosis can be challenging, often requiring advanced imaging techniques.

Observation:

• A case report detailing multiple coronary artery fistulae.
• These fistulae were observed to drain into the left ventricle and left atrium.
• A sinusoidal communication pathway was identified.

Findings:

• Initial diagnosis was established via transthoracic echocardiogram with Doppler.
• Angiography confirmed the presence of multiple coronary artery fistulae.
• The fistulae were noted to drain into the left-sided cardiac chambers.

Implications:

• This case highlights the importance of comprehensive echocardiography and angiography in diagnosing complex coronary artery anomalies.
• Understanding these rare fistulae aids in clinical management and surgical planning.
• Contributes to the literature on congenital cardiovascular malformations.