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Coronary-cameral fistula (CCF) is an anomalous connection between a coronary artery and a cardiac chamber or major vessel, seen in about 0.8% of the cases undergoing coronary angiography. Most patients are asymptomatic and diagnosis is made incidentally during coronary angiography. We present an image case of CCF which was found incidentally during pre-liver transplantation work up.
Keywords: coronary cameral fistula; coronary angiography; Management
A 57-year-old Caucasian female with a past medical history of diabetes mellitus, chronic obstructive pulmonary disease, and hepatitis C cirrhosis planned for orthotopic liver transplantation was admitted to the hospital. An elective cardiac catheterization was done as a part of pre-transplant workup. Cardiac catheterizations revealed normal coronaries, with multiple coronary-cameral fistulas (CCF) terminating in the left ventricle arising from both coronary arteries (Figs. 1 and 2). No interventions were done because of the...