Rare multiple fistulas with large saccular aneurysms originating from left anterior descending artery and left main coronary artery

Figure 1 A: The fistula emerging from the left main coronary artery is divided into two branches after the fold (arrowhead); B: An angiographic view showing the combination of a small fistula emerging from left anterior descending artery, the fistula from left main coronary artery (arrowhead) and large saccular sacs on the fistula line (arrow).

Figure 2 The passage of the contrast agent formed by the fistula (A), parasternal short axis echocardiography revealed the color flow associated with the fistula (B).