Coronary artery fistulas in elderly woman

In this article we described diagnosis of multiple coronary artery fistulas in elderly woman with exertional dyspnea. Diagnostic process going from clinical suspicion through transthoracic echocardiography to coronary angiography and computed tomography is discussed. Multiple coronary fistulas is a very rare conditon in elderly population. Therapeutic options are briefly considered as this patient was managed in conservative manner.