The authors present the case of a 71-year-old female patient with clinical signs of ischaemic heart disease where they diagnosed a coronary fistula between the ramus interventricularis anterior and the trunk of the pulmonary artery. Because of the marked symptmatology they made a transcatheter embolisation of the fistula by introduction of embolisation spirals which led to the elimination of ischaemic symptomatology. Because of the unusual character, pretentious technical aspects and possible risks this operation is indicated only in adult symptomatic patients.

        Key words: Coronary fistula - Transcatheter embolisation - Myocardial ischaemia - Coil