Left Main Coronary Artery to Right Atrium Fistula Presenting With Syncope: A Case Report

Clicks: 6
ID: 320713
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #19 of 261 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 261 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Coronary cameral fistula (CCF) is a rare coronary anomaly involving an abnormal communication between a coronary artery and a cardiac chamber or great vessel. While often asymptomatic, large fistulae may result in myocardial ischemia, arrhythmias, or heart failure. Case summary A 38-year-old woman presented with palpitations, dizziness, and syncope. Clinical examination revealed a continuous murmur. Transthoracic echocardiography demonstrated right-sided chamber enlargement. Cardiac magnetic resonance imaging (CMR) identified a large fistula originating from the left main coronary artery draining into the right atrium, with a Qp:Qs of 1.3. Cardiac computed tomography (CT) provided detailed anatomical delineation. Coronary angiography confirmed the diagnosis and demonstrated suitability for percutaneous intervention. Successful transcatheter closure was performed using a 10 mm Amplatzer Vascular Plug II, with immediate cessation of flow and subsequent symptom resolution. Discussion This case highlights the diagnostic value of multimodality imaging in defining fistula anatomy, quantifying shunt burden, and guiding procedural planning. Transcatheter closure is a safe and effective treatment strategy for hemodynamically significant CCF.
Reference Key
openalex_W7168020031 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mehak Gupta, Andrew Cole, Tom Butler, Mustafa Al-Jarshawi, Anikethana Appaji
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag516
URL
https://doi.org/10.1093/ehjcr/ytag516
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.