{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:05:53Z","timestamp":1790273153055,"version":"4.1.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coronary artery fistulas (CAFs) are rare coronary anomalies, most often detected incidentally. Although frequently asymptomatic, complex fistulas may lead to myocardial ischaemia, heart failure, or other complications, and optimal management remains controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 68-year-old patient presented with exertional dyspnoea and dizziness. Coronary angiography revealed intermediate left anterior descending artery stenosis with negative fractional flow reserve and a large CAF. Multislice computed tomography demonstrated complex bilateral CAFs originating from both coronary arteries, with drainage into the superior vena cava, right atrium, and descending aorta. Cardiac magnetic resonance imaging showed preserved myocardial tissue characteristics without ischaemia or fibrosis. Following Heart Team discussion, conservative management with optimal medical therapy was chosen. At 2-year follow-up, the patient remained asymptomatic without adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates an exceptionally rare presentation of bilateral CAFs with multiple atypical drainage sites. It highlights the value of multimodality imaging for comprehensive anatomical and functional assessment and supports individualized, Heart Team\u2013guided management in the absence of clear guideline recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag683","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T11:23:25Z","timestamp":1789903405000},"source":"Crossref","is-referenced-by-count":0,"title":["Complex bilateral coronary artery fistulas with multiple drainage sites: a multimodality imaging case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1370-3592","authenticated-orcid":false,"given":"Du\u0161an","family":"Ru\u017ei\u010di\u0107","sequence":"first","affiliation":[{"name":"Department of Invasive Cardiology, Health Center Valjevo , Sin\u0111eliceva 62, 14000 Valjevo ,","place":["Serbia"]},{"name":"Faculty of Health Sciences, Singidunum University , \u017delezni\u010dka 5, 14000 Valjevo ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milenko","family":"\u010cankovi\u0107","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Dr. Goldmana 4, 21204 Sremska Kamenica ,","place":["Serbia"]},{"name":"Faculty of Medicine, University of Novi Sad , Hajduk Veljkova 3, 21000 Novi Sad ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola","family":"Komazec","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute of Cardiovascular Diseases of Vojvodina, Dr. Goldmana 4, 21204 Sremska Kamenica ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vi\u0161eslav","family":"Popadi\u0107","sequence":"additional","affiliation":[{"name":"Cardiology Clinic, Clinical Center \u2018Be\u017eanijska Kosa\u2019 , Dr \u017dor\u017ea Matea bb, 11080 Belgrade ,","place":["Serbia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"2026092413213985000_ytag683-B1","doi-asserted-by":"crossref","first-page":"E60","DOI":"10.1002\/clc.20588","article-title":"Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography","volume":"33","author":"Yildiz","year":"2010","journal-title":"Clin Cardiol"},{"key":"2026092413213985000_ytag683-B2","first-page":"4172","article-title":"Congenital coronary artery fistulas: dual-source CT findings from consecutive 6,624 patients with suspected or confirmed coronary artery disease","volume":"124","author":"Yun","year":"2011","journal-title":"Chin Med J"},{"key":"2026092413213985000_ytag683-B3","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.3348\/kjr.2019.0331","article-title":"Coronary-to-pulmonary artery fistula in adults: natural history and management 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