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. 2021 Nov 10;30(4):277–284. doi: 10.1055/s-0041-1727134

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International College of Angiology. This article is published by Thieme.

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Fig. 5 — A 60-year-old female presented with chest pain. Cardiac computed tomography showed large left circumflex artery (LCX) to coronary sinus fistula. Coronary angiogram confirmed and gave more detail information about fistula. Due to severe LCX tortuosity patient had surgical correction. She recovered well and continue to improve clinically. ( A ) Right anterior oblique (RAO) caudal view showed large ectatic LCX (black arrow) and large LCX to coronary sinus fistula (white arrow). ( B ) RAO caudal view showed cardiac catheter at ostium of coronary artery fistula between coronary sinus to LCX (white arrow). There was severe tortuosity in LCX (white arrow).