Multiple Coronary-Cameral Fistulae Causing Myocardial Ischemia: Case Report

Coronary-cameral fistulae are rare and predominantly congenital communication between the coronary arterial circulation and the chambers or great vessels of the heart. Most commonly coronary-cameral fistulae are asymptomatic and usually identified during invasive coronary angiographies. But it may cause myocardial ischemia and heart failure. In this case, we presented that a 73-year-old hypertensive man was admitted to our department due to anginal symptoms and exertional dyspnea. A myocardial perfusion scan showed a reversible lateral-wall perfusion defect. Coronary angiography exhibited extensive multiple coronary cameral fistulae draining into the left ventricle. Symptomatic relief has been achieved with medical therapy in patient.