DOI: https://doi.org/10.36347/sasjm.2025.v11i01.015

Pages: 73-80

Coronary-cameral fistulae are rare congenital anomalous communications that may be single or multiple and occur between 1 or more coronary arteries and a cardiac chamber. We report the case of a 78-year-old patient, without modifiable cardiovascular risk factors admitted for an inferior Post-MI with incidental discovery of a coronarocameral fistula during angioplasty. Coronarocameral fistula is reported to be found in approximately 0.08–0.3% of unselected patients undergoing diagnostic coronary angiography. The imaging models allow the diagnosis to be evoked, but angiography remains the gold standard for the diagnosis. Surgical or interventional treatment is reserved only for symptomatic patients with large or multiple fistulas.