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A 56-year-old woman presented with exertional chest discomfort. The resting ECG showed minor repolarisation abnormalities in the chest leads. Coronary angiography revealed a fistula between left anterior descending artery and left pulmonary artery (figure 1A) without any coronary stenoses. Cardiac magnetic resonance confirmed small extra-cardiac shunt. The fistula was treated percutaneously by the deployment of three Trufill platinum coils (2×20, 3×20, 4×20 mm) through a microcatheter, resulting …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.