Bilateral Coronary Artery Fistula

Area of Science:

• Cardiology
• Congenital Heart Disease
• Interventional Cardiology

Background:

• Coronary artery fistulae (CAF) are uncommon congenital abnormalities involving abnormal connections between coronary arteries and heart chambers or great vessels.
• These fistulae bypass the myocardial capillary bed, potentially leading to myocardial ischemia.
• Bilateral CAF represents a rare variant of this condition.

Observation:

• The study presents a rare case of bilateral coronary artery fistula.
• The patient experienced angina symptoms, indicative of myocardial ischemia.
• Significant coronary artery disease was also identified concurrently.

Findings:

• The case demonstrates the coexistence of bilateral CAF with severe coronary artery disease.
• Percutaneous coronary intervention was successfully employed as a treatment strategy.
• This intervention addressed both the fistula and the obstructive coronary lesions.

Implications:

• This case underscores the importance of considering coronary artery anomalies in patients presenting with angina and coronary disease.
• Successful percutaneous coronary intervention can be a viable treatment option for complex cases involving bilateral CAF and significant CAD.
• Further research into the management of rare coronary artery anomalies is warranted.