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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Conservative Management of a Rare Congenital Left Circumflex Coronary Artery Fistula Draining Into the Coronary Sinus

Tarek Mahdy1, Mohamed Mansour1, Edward Hoey1

  • 1University Hospitals of Birmingham-NHS Foundation Trust, Birmingham, United Kingdom.

JACC. Case Reports
|November 12, 2025
PubMed

Insights

Coronary artery fistulas (CAFs) are rare congenital anomalies. Conservative management is recommended for asymptomatic patients with CAFs, guided by imaging and fistula characteristics.

Area of Science:

  • Cardiology
  • Congenital Heart Disease

Background:

  • Coronary artery fistulas (CAFs) are uncommon congenital heart defects.
  • They can cause angina or heart failure due to coronary steal phenomenon.
Abstract

Keywords:
chest paincomputed tomographycoronary vessel anomaly

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