1 (a) Aortic root angiogram in anteroposterior view shows tortuous fistula (arrows) from LMCA entering RA. Normal branching of the LMCA into the LAD and LCx is well seen. (b) It was closed with two Gianturco coils [AU2]  

1 (a) Aortic root angiogram in anteroposterior view shows tortuous fistula (arrows) from LMCA entering RA. Normal branching of the LMCA into the LAD and LCx is well seen. (b) It was closed with two Gianturco coils [AU2]  

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Coronary artery fistula (CAF) is a direct communication of a coronary artery to any one of the cardiac chambers, systemic or pulmonary veins, or pulmonary artery bypassing the capillary network. Although most of the patients remain asymptomatic, some of them may present with heart failure, angina, myocardial infarction, arrhythmias, and sudden deat...