Abstract
Background
Coronary artery fistulae are rare vascular anomalies. Although they are usually asymptomatic, the presence of symptoms might suppose a challenge in the diagnostic and therapeutic management.
Case summary
we present a patient with chest pain, all the initial tests were normal, but coronary artery fistulae were found. SPECT test showed ischemia due to coronary artery fistulae and cardiac CT helped in the planning of the percutaneous closure.
Discussion
Cardiac computed tomography (CCT) is an emerging optimal non-invasive tool to characterize their morphology and course, resulting essential for accurate diagnosis and eventually, planning the percutaneous closure.
Percutaneous closure of coronary fistulae using different devices
