Chatterjee K: Coronary arteriovenous fistula with aneurysm of the coronary sinus

Abnormal communications of the coronary vascu-lar system are rare, the majority of instances having been described in children or young adults (Gasul et al., 1960; Papaioannou et al., 1962). The com-monest vessel to be involved is the right coronary artery, and the communication is usually with the right heart chambers or the pulmonary artery. A patient who was asymptomatic for 64 years, with a coronary artery fistula involving the left coronary artery and coronary sinus, is described. Case Report A 64-year-old housewife was admitted to hospital in February 1967, with a 2-week history of palpitation and orthopnoea. There was no previous history of any cardiac disease. On admission she had signs of lef