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As part of the work up for an intracardiac mass he had a cardiac computed tomogram which detailed a large coronary cameral fistula from the circumflex coronary artery to the right atrium associated with a spherical calcific pseudo\u2010aneurysmal sac. Transcatheter occlusion of the exit point into the atrium with a vascular plug was performed directly from a right atrial approach without the need for an arteriovenous wire loop. This case details a unique presentation of a coronary cameral fistula to an unusual position within the right atrium which facilitated the rare ability to occlude the fistula from a venous approach without creating an arteriovenous wire rail.<\/jats:p>","DOI":"10.1002\/ccd.30997","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T05:55:25Z","timestamp":1709099725000},"page":"607-611","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transcatheter closure of a large coronary cameral fistula presenting as a calcified cystic right atrial mass"],"prefix":"10.1002","volume":"103","author":[{"given":"Michael","family":"Sola","sequence":"first","affiliation":[{"name":"Division of Cardiology University of Colorado Aurora USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Kay","sequence":"additional","affiliation":[{"name":"Division of Cardiology 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