Traumatic vessel perforation is a potential complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI).A rare consequence of this complication is a coronary-cameral Foot Cream fistula.The management of this condition is not well elucidated.Herein, we present such a case of symptomatic left anterior descending to Heatsink Compounds the right ventricle (LAD-RV) fistula which was treated with coil embolization.