Coronary Cameral Fistula Manifested as Angina Pectoris in a 40-Year Old Female

Area of Science:

• Cardiology
• Medical Imaging
• Congenital Heart Disease

Background:

• Coronary cameral fistula (CCF) is a rare condition, occurring in less than 1% of the population.
• Most CCF cases are asymptomatic, but large fistulas can lead to significant symptoms and complications.
• Embryogenesis abnormalities are the usual cause of CCF.

Purpose of the Study:

• To present a case of symptomatic CCF in a young female.
• To highlight the diagnostic utility of computed tomography coronary angiography (CTCA).
• To demonstrate the efficacy of surgical treatment for CCF.

Main Methods:

• Echocardiography was used for initial suspicion of CCF.
• Computed tomography coronary angiography (CTCA) confirmed the diagnosis.
• Surgical intervention was performed for treatment.

Main Results:

• A young female presented with symptomatic CCF.
• CTCA provided definitive diagnosis of the coronary artery to cardiac chamber fistula.
• Surgical treatment resulted in complete symptom resolution.

Conclusions:

• CCF is an abnormal communication between coronary arteries and cardiac chambers.
• Large CCFs can cause angina pectoris via the coronary steal phenomenon and may necessitate surgery.
• Coronary CT angiography is a highly sensitive, non-invasive diagnostic tool for CCF.