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Coronary Artery Left Ventricular Fistula. A patient with left coronary artery fistula (septal branch) to left ventricle with aneurysm formation during its course in the interventricular septum is presented. Surgical management using the right ventricular approach is discussed.Etiology. There are three major causes of coronary artery fistulas. Most commonly, coronary artery fistulas arise congenitally as a result of abnormal embryological development. The most common form of acquired coronary artery fistulas result from trauma, such as gunshot wounds or stab injuries.
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