{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:34:21Z","timestamp":1780443261347,"version":"3.54.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":1975,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Economic Development and Innovation Operative Programme","award":["GINOP 2.3.2-15-2016-00048"],"award-info":[{"award-number":["GINOP 2.3.2-15-2016-00048"]}]},{"name":"Economic Development and Innovation Operative Programme","award":["GINOP 2.3.2-15-2016-00048"],"award-info":[{"award-number":["GINOP 2.3.2-15-2016-00048"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Coronary artery fistula is a rare congenital cardiac anomaly that is often found incidentally during computed tomography angiography. Coronary fistula between the left circumflex coronary artery and the coronary sinus is among the less common forms of coronary artery fistula. A 60-yea\\r-old female patient presented to our outpatient cardiology department with symptoms of severe, de novo heart failure. Echocardiogram revealed severe mitral regurgitation and a dilated duct that turbulently accelerated colour Doppler flow behind the left ventricle with significant left-to-right shunt. Cardiac magnetic resonance imaging and computed tomography angiography revealed a massively dilated fistula between the left circumflex coronary artery and the coronary sinus with a diameter of 3\u20134 cm. The patient underwent combined heart surgery involving mitral ring annuloplasty and fistula ligation and was discharged in stable condition on guideline-based medical therapy. At 18 months of follow-up, minimal residual shunt flow and mild-to-moderate mitral regurgitation were found. We report a rare case of congenital coronary disorder resulting in heart failure and highlight the importance of complex non-invasive cardiac diagnostic procedures before planning and performing heart surgery.<\/jats:p>","DOI":"10.1002\/ehf2.12913","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T05:04:53Z","timestamp":1595480693000},"page":"3203-3207","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical Treatment of Heart Failure Due to Giant Coronary Artery Fistula: A Case Report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7028-4227","authenticated-orcid":false,"given":"Barbara","family":"Sandor","sequence":"first","affiliation":[{"name":"Division of Cardiology, 1st Department of Internal Medicine, University of P\u00e9cs Medical School , Ifj\u00fas\u00e1g Street 13, P\u00e9cs, 7624 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9445-2267","authenticated-orcid":false,"given":"Gabor","family":"Bogats","sequence":"additional","affiliation":[{"name":"Division of Heart Surgery, 2nd Department of Internal Medicine and Cardiology Center, Albert Szent-Gy\u00f6rgyi Health Center, University of Szeged Faculty of Medicine , Szeged ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7967-0765","authenticated-orcid":false,"given":"Levente","family":"Toth","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, University of P\u00e9cs Medical School , P\u00e9cs ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4816-857X","authenticated-orcid":false,"given":"Tamas","family":"Habon","sequence":"additional","affiliation":[{"name":"Division of Cardiology, 1st Department of Internal Medicine, University of P\u00e9cs Medical School , Ifj\u00fas\u00e1g Street 13, P\u00e9cs, 7624 ,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,7,23]]},"reference":[{"key":"2026012114064934300_ehf212913-bib-0001","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1111\/chd.12781","article-title":"The clinical characteristics of coronary artery fistula anomalies in children and adults: a 24-year experience","volume":"14","author":"Huynh","year":"2019","journal-title":"Congenit Heart Dis"},{"key":"2026012114064934300_ehf212913-bib-0002","article-title":"Coronary artery fistulae","volume":"11","author":"Reddy","year":"2015","journal-title":"Circ Cardiovasc Interv"},{"key":"2026012114064934300_ehf212913-bib-0003","doi-asserted-by":"crossref","first-page":"e81","DOI":"10.1016\/j.jacc.2018.08.1029","article-title":"2018 AHA\/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"73","author":"Stout","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2026012114064934300_ehf212913-bib-0004","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s10396-019-00933-7","article-title":"Diagnosis of anomalous origin of the right coronary artery from the pulmonary artery by echocardiography","volume":"46","author":"Wu","year":"2019","journal-title":"J Med Ultrason"},{"key":"2026012114064934300_ehf212913-bib-0005","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13019-020-1073-x","article-title":"The role of the fractional flow reserve in the coronary steal phenomenon evaluation caused by the coronary-pulmonary fistulas: case report and review of the literature","volume":"15","author":"Huang","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"2026012114064934300_ehf212913-bib-0006","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1093\/ehjci\/jey229","article-title":"A rare right coronary artery-left ventricular fistula with giant coronary artery and aneurysm","volume":"20","author":"Sun","year":"2019","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"2026012114064934300_ehf212913-bib-0007","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1002\/ejhf.592","article-title":"2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). 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An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology","volume":"21","author":"Seferovic","year":"2019","journal-title":"Eur J Heart Fail"},{"key":"2026012114064934300_ehf212913-bib-0009","doi-asserted-by":"crossref","first-page":"356","DOI":"10.4070\/kcj.2013.43.5.356","article-title":"A rare combination of the left circumflex coronary artery fistula connecting a dilated coronary sinus with persistent left superior vena cava and multiple arteriovenous fistulae","volume":"43","author":"Yeon","year":"2013","journal-title":"Korean Circ J"},{"key":"2026012114064934300_ehf212913-bib-0010","first-page":"97","article-title":"Left circumflex coronary artery to coronary sinus fistula diagnosed in infancy","volume":"15","author":"Abdelmohsen","year":"2016","journal-title":"J Cardiol Cases"},{"key":"2026012114064934300_ehf212913-bib-0011","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.jacc.2008.06.055","article-title":"Coronary artery fistula","volume":"53","author":"Schamroth","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"2026012114064934300_ehf212913-bib-0012","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.athoracsur.2013.09.015","article-title":"Surgical management of left circumflex coronary artery fistula: a 25-year single-center experience in 29 patients","volume":"97","author":"Hou","year":"2014","journal-title":"Ann Thorac Surg"}],"container-title":["ESC Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fehf2.12913","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ehf2.12913","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ehf2.12913","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/7\/5\/3203\/65806822\/eschf_7_5_3203.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/7\/5\/3203\/65806822\/eschf_7_5_3203.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:07:13Z","timestamp":1769022433000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eschf\/article\/7\/5\/3203\/8372132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,23]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,7,23]]},"published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/ehf2.12913","relation":{},"ISSN":["2055-5822"],"issn-type":[{"value":"2055-5822","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,7,23]]},"assertion":[{"value":"2020-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}