ArticleJACC. Case reports2026
Conservative Management of a Rare Congenital Left Circumflex Coronary Artery Fistula Draining Into the Coronary Sinus.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The Coronary Venous System in Acute Coronary Syndrome: A Narrative Review.Biomedicines · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronary artery fistulas (CAFs) are rare congenital anomalies that may present with symptoms of angina or heart failure due to a coronary steal phenomenon. Diagnosis and treatment are based on symptom severity and anatomical characteristics. CASE SUMMARY: A 68-year-old man presented with chest pain. He had no obstructive coronary disease on coronary computed tomography angiography, but the left circumflex artery was found to be ectatic and draining into the coronary sinus, consistent with a congenital fistula. No evidence of ischemia or shunt was seen on the imaging assessment. The patient was managed conservatively, and he remained asymptomatic during 1 year of follow-up.
conclusionsManagement of CAFs is decided on factors including symptoms and fistula characteristics, leading to a conservative, transcatheter, or surgical approach. TAKE-HOME MESSAGES: Detailed multimodality imaging assessment in CAFs is required. Conservative management is generally recommended in asymptomatic patients.
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