An unusual case of coronary fistula diagnosed by multidetector computed tomography.

We present a case of a 82-year-old hypertensive woman who underwent multidetector computed tomography angiography because of chest pain, with detection of a large coronary fistula that originated from the anastomosis between left anterior descending coronary artery and posterior descending artery, in correspondence with the left ventricular apex, and drained into the right atrium and the proximal portion of the right coronary artery.