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Previous Volume 343:149-150 July 13, 2000 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Coronary cameral fistulas are communications between the coronary arterial circulation and the chambers or great vessels of the heart. The majority of these fistulas are congenital in origin. However, acquired coronary cameral fistulas are increasingly recognized as a complication of exogenous trauma (e.g., chest injury) or endogenous trauma (e.g., permanent ventricular pacing leads, cardiac surgery,^1,2 or myocardial infarction). Acquired fistulas may also complicate the course of severe atherosclerosis.³ The symptoms are highly variable: the majority of patients have no symptoms, but others have chest pain and dyspnea.

We describe a 78-year-old man who had progressive angina, exertional . . . [Full Text of this Article]

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