Coronary Artery Fistula Class I recommendationto fix: 1) large fistula, even in asymptomatic pt, should be closed either via transcath or a surgical, 2) small/moderate fistula should be closed if ischemia, arrhythmias, systolic or diastolic dysfunction, chamber enlargement, or endarteritis. Couple amplatzer plugs should do the trick! #Coronary #Artery #Fistula #Clinical #CathLab #CardiacCath #Cardiology | The Heart