{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T20:10:37Z","timestamp":1784837437396,"version":"3.55.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coronary cameral fistula (CCF) is a rare coronary anomaly involving an abnormal communication between a coronary artery and a cardiac chamber or great vessel. While often asymptomatic, large fistulae may result in myocardial ischaemia, arrhythmias, or heart failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 38-year-old woman presented with palpitations, dizziness, and syncope. Clinical examination revealed a continuous murmur. Transthoracic echocardiography demonstrated right-sided chamber enlargement. Cardiac magnetic resonance imaging identified a large fistula originating from the left main coronary artery draining into the right atrium, with a Qp:Qs of 1.3. Cardiac computed tomography provided detailed anatomical delineation. Coronary angiography confirmed the diagnosis and demonstrated suitability for percutaneous intervention. Successful transcatheter closure was performed using a 10\u2005mm Amplatzer Vascular Plug II, with immediate cessation of flow and subsequent symptom resolution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the diagnostic value of multimodality imaging in defining fistula anatomy, quantifying shunt burden, and guiding procedural planning. Transcatheter closure is a safe and effective treatment strategy for haemodynamically significant CCF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag516","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T11:59:10Z","timestamp":1783598350000},"source":"Crossref","is-referenced-by-count":0,"title":["Left main coronary artery to right atrium fistula presenting with syncope: a case report"],"prefix":"10.1093","volume":"10","author":[{"given":"Mehak","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Hospitals of North Midlands NHS Foundation Trust , Stoke-on-Trent ST4 6QG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9595-0003","authenticated-orcid":false,"given":"Andrew","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospitals of North Midlands NHS Foundation Trust 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