January 1-December 1, 2013
Coronary artery fistula (CAF) is a rare disease that often diagnosed incidentally in coronary angiogram. Untreated coronary fistula may lead into detrimental complications such as bacterial endocarditis, arrhythmias, congestive heart failure and even sudden death. In the case we are reporting a 61 year old female who presented with numbness of face and chest pain. Patient was worked up as a case of ACS, patient underwent coronary angiogram which revealed severe 3 vessel disease and an incidental findings of coronary artery fistula coming from left anterior descending artery draining into main pulmonary artery. Patient underwent CABG and ligation of coronary artery fistula. Patient was discharged improved.