New-Onset Atrial Flutter Revealing a Large Right Coronary Artery to Superior Vena Cava Fistula

Sankalp Acharya1, Vyoma Patel2, Sai Shahane1

  • 1Department of Internal Medicine, Rutgers Monmouth Medical Center, Long Branch, New Jersey, USA.

JACC. Case Reports
|May 22, 2026
PubMed

Insights

Coronary artery fistulas, rare heart abnormalities, can cause atrial flutter. Prompt diagnosis via multimodality imaging and transcatheter coil embolization offer effective treatment for this condition.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Coronary artery fistulas are uncommon abnormal connections between coronary arteries and heart chambers or vessels.
  • Large fistulas can lead to significant cardiac issues including chamber dilation, ischemia, heart failure, and arrhythmias.
Abstract

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