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  • Title: Congenital circumflex coronary artery fistula with drainage into the left ventricle.
    Author: Teno LA, Santos JL, Bestetti RB, Zanardi AM, Ceccon C, Castilho OT.
    Journal: Tex Heart Inst J; 1993; 20(4):304-6. PubMed ID: 8298331.
    Abstract:
    Congenital coronary fistula is a rare heart defect, which consists of a communication between a coronary artery and a cardiac chamber of coronary vessel. Most such fistulae drain into a right heart chamber or into the pulmonary artery. Congenital left coronary artery-left ventricle fistula is even more uncommon. In a search of the literature, we were able to find only 15 other cases of congenital left coronary artery-left ventricle fistula. We describe here the clinical picture of a patient with left circumflex coronary artery draining into the left ventricle, and the successful surgical repair of the lesion. As far as we know, such a case has never before been reported in detail.
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