Coronary artery fistulae are a rare cardiovascular anomaly. Even less common are multiple fistulae involving more than 1 coronary artery. Herein we report the case of a 47-year-old woman who had fistulae from both the right coronary and left circumflex coronary arteries draining into the coronary sinus. These lesions we attempted to close percutaneously but subsequently closed surgically. We discuss diagnostic imaging approaches, along with closure indications, closure options, and outcomes.
Keywords: Arteriovenous fistula/surgery/therapy; coronary artery anomaly; coronary artery fistula/surgery/therapy; coronary computed tomographic angiography; heart defects, congenital.