Coronary artery fistula with a giant aneurysm treated by percutaneous transradial embolization

Tanabe, Yasuhiro; Tejima, Tamotsu; Sakurada, Harumizu

doi:10.1002/ccd.24656

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…Percutaneous transfemoral and transradial approaches for embolization of a fistula have been reported. In our patients, PTE via the transfemoral approach was performed in 4 patients; in 1 of those, failure of PTE occurred due to fistulous vessel tortuosity and lack of guiding catheter support.…”

Section: Discussionmentioning

confidence: 99%

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Saïd

Nijhuis

Akker

et al. 2014

Clinical Cardiology

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Background: Congenital coronary-pulmonary fistulas (CPFs) are commonly unilateral, but bilateral and multilateral fistulas may occur. In multilateral CPFs, the value of a multidetector computed tomography (MDCT) imaging technique as an adjuvant to coronary angiography (CAG) is eminent. The purpose of this study was to describe the clinical presentation, diagnostic modalities, and management of coincidentally detected congenital CPFs. Hypothesis: Unilateral and multilateral coronary-pulmonary fistulas are increasingly detected due to the wide speard application of multidetector computed tomography which might be a supplementary or replacing to conventional coronary angiography. Methods: We evaluated 14 adult patients with congenital coronary artery fistulas (CAFs) who were identified from several Dutch cardiology departments. Results: Fourteen adult patients (5 female and 9 male), with a mean age of 57.5 years (range, 24-80 years) had the following abnormal findings: audible systolic cardiac murmur (n = 4), chronic atrial fibrillation (n = 2), nonsustained ventricular tachycardia (n = 1), and cardiomegaly on chest x-ray (n = 2). Echocardiography revealed normal findings with trivial valvular abnormalities (n = 9), depressed left ventricle systolic function (n = 3), and severe mitral regurgitation and atrial dilatation (n = 2). The findings in the rest of the patients were unremarkable. CAG and MDCT were used as a diagnostic imaging techniques either alone (CAG, n = 6; MDCT, n = 1) or in combination (n = 7). Single modality and multimodality diagnostic methods revealed 22 fistulas including CPFs (n = 15), coronary cameral fistulas terminating into the right (n = 2) and the left atrium (n = 1), and systemic-pulmonary fistulas (n = 4). Of all of the fistulas, 10 were unilateral, 6 were bilateral, and 6 was hexalateral.13 N-ammonia positron emission tomography-computed tomography was performed in 3 patients revealing decreased myocardial perfusion reserve. Conclusions: CAG remains the gold standard for detection of CPFs. An adjuvant technique using MDCT provides full anatomical details of the fistulas.The authors have no funding, financial relationships, or conflicts of interest to disclose.

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Section: Discussionmentioning

confidence: 99%

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Saïd

Nijhuis

Akker

et al. 2014

Clinical Cardiology

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“…The size is specified as follows: small, <1× distal reference; medium, 1 to 2× distal reference; and large, >2× distal reference ( 5 ). Several studies reported that indications for closure are high Q p /Q s (1.3 to 1.5), the presence of large fistulas, ECG-indicated myocardial ischemia, PA hypertension progression, congestive heart failure, and/or coronary aneurysm with a high risk of rupture ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Coil Embolization of Confluent Bilateral Coronary Artery Fistulas

2020

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A 52-year-old woman presented with a continuous heart murmur at an annual health examination. Coronary computed tomography angiography showed confluent coronary artery fistulas meeting to form a large aneurysm fistulizing to the pulmonary artery. Percutaneous coil embolization was performed, resulting in the disappearance of the coronary artery fistulas and aneurysms. ( Level of Difficulty: Intermediate. )

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“…However, TAE is less invasive than surgery and is now widely performed, although the early effectiveness, morbidity, and mortality for both approaches have been reported to be similar [6] . Recently, elective TAE for CAFs with unruptured aneurysms has also been reported [9] , [10] . Iwasawa et al reported a case of CAF with a ruptured aneurysm, which was treated by TAE in emergency [4] .…”

Section: Discussionmentioning

confidence: 99%

Successful transarterial embolization of coronary artery fistula with ruptured aneurysm: A case report

Sakai

Mori

Hoshiai

et al. 2019

Radiology Case Reports

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We report a case of a coronary artery fistula (CAF) with ruptured aneurysm treated using transarterial embolization (TAE) alone. The ruptured aneurysm caused cardiac tamponade, and it was isolated by embolizing its afferent and efferent vessels using detachable coils. To our knowledge, this is the first case report of successful TAE for a CAF with ruptured aneurysm. We believe that if the patient condition is stable and the CAF is anatomically simple, TAE can be a less-invasive alternative to surgery.

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Coronary artery fistula with a giant aneurysm treated by percutaneous transradial embolization

Cited by 5 publications

References 21 publications

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Unilateral and Multilateral Congenital Coronary‐Pulmonary Fistulas in Adults: Clinical Presentation, Diagnostic Modalities, and Management With a Brief Review of the Literature

Percutaneous Coil Embolization of Confluent Bilateral Coronary Artery Fistulas

Successful transarterial embolization of coronary artery fistula with ruptured aneurysm: A case report

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