Dual coronary fistulas complicated with significant left to right heart shunt in an elderly patient

Int J Cardiol. 2011 Jun 16;149(3):e108-9. doi: 10.1016/j.ijcard.2009.05.048. Epub 2009 Jun 13.


Dual coronary artery fistula is a rare clinical entity and their clinical significance remains unknown. We hereby report a case of right coronary artery and left anterior descending artery fistula to pulmonary artery complicated with clinical significant left to right shunt (1.6:1) who remained clinically well at the age of 85 without percutaneous or surgical closure.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Aged, 80 and over
  • Arterio-Arterial Fistula / diagnostic imaging*
  • Arterio-Arterial Fistula / surgery*
  • Coronary Angiography*
  • Coronary Vessels / surgery*
  • Humans
  • Male
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery*
  • Severity of Illness Index