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A 78-year-old man was hospitalized with acute cholecystitis and choledocholithiasis. Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1). Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase… (More)
Coronary artery fistulas (CAF) terminating in the left ventricle are rare. We present an asymptomatic 58-year-old African-American female with a unique fistula network detected during cardiac catheterization. Large coronary fistulas can have a silent presentation and may be an incidental finding not requiring intervention.