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Case Reports in Vascular Medicine
Volume 2011, Article ID 486187, 5 pages
Case Report

Coronary Anomaly and Coronary Artery Fistula as Cause of Angina Pectoris with Literature Review

1Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA
2Seton Hall Cardiology Fellowship Program, St. Micheal’s Medical Center, 111 Central Avenue, Newark, NJ 07102, USA

Received 19 July 2011; Accepted 25 September 2011

Academic Editors: N. Espinola-Zavaleta and A. Janosi

Copyright © 2011 Jayanth Koneru et al. 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.


Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.