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Serpentinelike Coronary Anomaly in a Male Patient in His 40s

JAMA Cardiology 10.1001/jamacardio.2026.0236

March 18, 2026 at 11:00 AM EDT

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This case report describes branching coronary-cameral fistulas in a male patient in his 40s who presented with angina and elevated troponin I and pro–brain-type natriuretic peptide levels.

Corresponding Author: Karley Fischer, MD, Department of Internal Medicine, Kettering Health, Main Campus, 3535 Southern Blvd, Kettering, OH 45429 (karley.fischer@ketteringhealth.org).

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