Coronary artery fistulas are abnormal communications between the coronary arteries and other cardiac or pulmonary structures. Many patients are asymptomatic; however, symptoms and complications may develop with increasing age. We discuss a rare case of a 56-year-old woman presenting with chest pain and was found to have bilateral coronary fistulae. We also review relevant literature regarding diagnosis and management options.
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James et al. (2024) studied this question.
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