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Accidental Discovery of Coronary Fistula and Left Megadolicho Coronary Artery: About One Case in Dakar

Waly Niang Mboup1*, Joseph Salvador Mingou1, Marguerite Téning Diouf1, Demba Waré Baldé1, Fatou Aw1, Simon Antoine Sarr1, Malick Bodian1, Mouhamadou Bamba Ndiaye1, Maboury Diao1, Abdoul Kane2

We report a very rare case of a 66-year-old female patient with coronary fistula and left mega-coronary heart disease. This lady was admitted for exploration of a chronic constrictive pericarditis. The clinical presentation was a NYHA stage III dyspnea and atypical precordial pain, indicative of coronary angiography following right catheterization. The coronary angiography revealed a left megadolicho coronary artery; the contrast enhancement of the right ventricle suggested a fistula between the left coronary artery and the ventricle. The transthoracic echocardiography confirmed the presence of a communication between the left coronary and the right ventricle (coronaro-cameral fistula) with an acceleration of the flow on color Doppler. So far, she did not have her surgical cure but no complications have been revealed.