Coronary artery fistulae are communication between coronary arteries and other structures like cardiac chamber (coronary
cameral fistula) or a vein (coronary arteriovenous fistula). Coronary fistulae account for 0.2 to 0.4% of the congenital cardiac
abnormalities. We present a 20 day old baby with coronary cameral fistula of the right coronary ostium which was draining into the
right ventricle then right atrium and into the pulmonary artery.