{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:34:49Z","timestamp":1761708889116,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 26-year-old asymptomatic man, being medically managed for ventricular septal defect since childhood, presented to the outpatient clinic for a second opinion. Clinically, he was well built with normal vital signs. Cardiac auscultation was significant for a diastolic murmur over the praecordium. An ECG showed non-specific ST changes, and a subsequent transthoracic echocardiography performed revealed diastolic flow from the left ventricular (LV) anteroseptal wall into the LV cavity. A diagnosis of coronary\u2013cameral fistula was confirmed by a multidetector CT which showed a 2.5\u00d72\u2005cm aneurysmal left anterior descending artery fistula to the LV. In addition to starting aspirin, transcatheter closure with occlusion device was considered knowing the potential risk of thrombus formation in the aneurysm and subsequent systemic embolisation. The patient however refused any percutaneous or surgical intervention. He remains asymptomatic 1\u2005year after returning to his home country.<\/jats:p>","DOI":"10.1136\/bcr-2013-008649","type":"journal-article","created":{"date-parts":[[2013,6,4]],"date-time":"2013-06-04T00:53:39Z","timestamp":1370307219000},"page":"bcr2013008649","source":"Crossref","is-referenced-by-count":3,"title":["Aneurysmal coronary cameral fistula"],"prefix":"10.1136","volume":"2013","author":[{"given":"Gohar","family":"Jamil","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Tawam Hospital, Al Ain, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Medicine, Tawam Hospital, Al Ain, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azhar","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Medicine, Tawam Hospital, Al Ain, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anwer","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Tawam Hospital, Al Ain, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,6,3]]},"reference":[{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0894-7317(99)70127-6","article-title":"Doppler echocardiographic features of coronary artery fistula: a report of 8 cases","volume":"2013","author":"Barbosa","year":"1999","journal-title":"J Am Soc Echocardiogr"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.2","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.ijcard.2002.11.003","article-title":"Two cases of giant aneurysm in the coronary-pulmonary artery fistula associated with atherosclerotic changes","volume":"2013","author":"Fujimoto","year":"2004","journal-title":"Int J Cardiol"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.3","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1016\/0002-8703(95)90148-5","article-title":"Multiplane transesophageal echocardiography in the diagnosis of congenital coronary artery fistula","volume":"2013","author":"Lin","year":"1995","journal-title":"Am Heart J"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.4","first-page":"28","article-title":"Coronary artery anomalies in 126,595 patients undergoing coronary arteriography","volume":"2013","author":"Yamanaka","year":"1990","journal-title":"Catheter Cardiovasc Diagn"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.5","first-page":"116","article-title":"Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history","volume":"2013","author":"Vavuranakis","year":"1995","journal-title":"Catheter Cardiovasc Diagn"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.6","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.amjcard.2010.09.018","article-title":"Intermediate to long term outcome following congenital coronary artery fistulae closure with focus on thrombus formation","volume":"2013","author":"Gowda","year":"2011","journal-title":"Am J Cardiol"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.7","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1161\/CIRCINTERVENTIONS.109.883884","article-title":"Predictors of long term adverse outcomes in patients with congenital coronary artery fistulae","volume":"2013","author":"Valente","year":"2010","journal-title":"Circ Cardiovasc Interven"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.8","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1253\/circj.70.796","article-title":"Giant congenital coronary artery fistula to left brachial vein clearly detected by multi-detector computed tomography","volume":"2013","author":"Nakamura","year":"2006","journal-title":"Circ J"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.9","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/S0002-9149(98)00878-9","article-title":"Prognostic significance of clinically silent coronary artery fistulas","volume":"2013","author":"Sherwood","year":"1999","journal-title":"Am J Cardiol"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.10","first-page":"121","article-title":"Coronary artery to left ventricular fistula demonstrated by transthoracic echocardiography","volume":"2013","author":"Arat","year":"2008","journal-title":"Eur J Echocardiogr"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.11","first-page":"e631","article-title":"Coronary artery fistula with a huge aneurysm treated by transcatheter coil embolization","volume":"2013","author":"Jo","year":"2006","journal-title":"Circ"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.12","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S0003-4975(10)64245-2","article-title":"Congenital coronary artery-chamber fistula: review of operative management","volume":"2013","author":"Rittenhouse","year":"1975","journal-title":"Ann Thorac Surg"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.13","first-page":"110","article-title":"Coronary artery fistulas: how to manage them","volume":"2013","author":"Latson","year":"2007","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.14","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijcard.2005.01.067","article-title":"Coronary artery fistulas: clinical and therapeutic considerations","volume":"2013","author":"Gowda","year":"2006","journal-title":"Int J Cardiol"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.15","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1016\/j.jcin.2011.03.014","article-title":"Percutaneous closure of congenital coronary artery fistulae. Results and angiographic follow-up","volume":"2013","author":"Jama","year":"2011","journal-title":"JACC Cardiovasc Interv"},{"key":"2025082702370696000_2013.jun03_1.bcr2013008649.16","doi-asserted-by":"crossref","unstructured":"Gowda ST Forbes TJ Singh H . Remodelling and thrombosis following closure of coronary artery fistula with review of management. Catheter Cardiovasc Interv. Published Online First: 14 Feb 2013. doi:10.1002\/ccd.24699","DOI":"10.1002\/ccd.24699"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:37:17Z","timestamp":1756287437000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,3]]},"references-count":16,"alternative-id":["10.1136\/bcr-2013-008649"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008649","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,6,3]]}}}