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Case Reports in Cardiology
Volume 2014 (2014), Article ID 213673, 4 pages
http://dx.doi.org/10.1155/2014/213673
Case Report

Coronary Artery Fistulae Discovered during Presentation of a Patient Having Heart Failure due to Severe Aortic Stenosis

Department of Medicine, College of Medicine, Qassim University, Qassim, Saudi Arabia

Received 16 September 2014; Accepted 24 October 2014; Published 16 November 2014

Academic Editor: Ramazan Akdemir

Copyright © 2014 Abdulrahman Khalifa Alammar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Coronary artery fistulae (CAF) are rare defects with abnormal communication between a coronary artery with either a cardiac chamber or another vascular structure, bypassing the myocardial capillary network. We report a rare multiple arterial coronary fistulae with drainage to the right pulmonary artery. Case Presentation. A 56-year-old male was brought to our hospital for work-up of severe aortic stenosis. Further evaluation revealed multiple CAF with abnormal drainage to the right pulmonary artery. He was discharged after aortic valve replacement and closure of the coronary fistula. Conclusion. This case demonstrates that patients with complex CAF and drainage to the right pulmonary artery can remain asymptomatic and diagnosed accidentally during cardiac imaging, presenting particular challenges in both medical and surgical treatment.