BENSALAH SALMA, BEDY OUMAR, OUTAHAYOU AMINA, BELHARTY NALJAE, HILAL SAFAE, FELLAT IBTISSAM, CHERTI MOHAMED
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 2
Issue: 11
Date of Publication: 2025/11/01
Coronary-cameral fistulas (CCFs) are uncommon coronary abnormalities, either congenital or, less commonly , acquired, involving an atypical connection between a coronary artery and one of the heart chambers. They are usually asymptomatic and discovered incidentally, but large fistulas may cause myocardial ischemia, volume overload, or arrhythmias. We will discuss the case of a 37-year-old male patient with no cardiovascular risk factors, admitted to our department for evaluation of palpitations. The 12-lead electrocardiogram (ECG) revealed an irregular, wide-complex tachycardia suggestive of ventricular tachycardia (VT). The patient underwent pharmacological cardioversion with amiodarone, resulting in prompt restoration of sinus rhythm. A comprehensive diagnostic workup, including transthoracic echocardiography (TTE), cardiac magnetic resonance imaging (MRI), and Holter monitoring, was unremarkable, showing no evidence of structural heart disease or myocardial scarring. Subsequent coronary angiography demonstrated a rare coronary–cameral fistula arising from the distal circumflex artery and draining into the left atrium. The patient was managed with antiarrhythmic therapy with close rhythm follow-up. This case highlights the unusual presentation of coronary-cameral fistula with VT in a structurally normal heart.
Coronary Cameral fistula, ventricular tachycardia, coronary angiography.
Download PDF