A congenital coronary artery fistula (CAF) is a rare
identity defined as an abnormal communication be tween the coronary artery and either cardiac chambers,
great vessels, coronary sinus or other close structures
bypassing the myocardial capillary network.1
The most
common symptoms and complications of CAF include
fatigue, dyspnea, orthopnea, angina, endocarditis, myocardial ischaemia and myocardial infarction.