Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Banerjee, Suvro; Patra, Soumya

doi:10.14503/thij-15-5177

Cited by 7 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical manifestations of CAVF vary depending on the etiology of the fistula and the severity of left to right shunting; however, the majority of CAVF in adults are asymptomatic [1]. There have been prior published case reports of iatrogenic CAVF and CCF that developed following various coronary artery interventions (Table 1 [2,[6][7][8][9]). The more common causes of iatrogenic CAVF and CCF include coronary perforation during stenting and guidewire-induced trauma [6,8].…”

Section: Discussionmentioning

confidence: 99%

“…There have been prior published case reports of iatrogenic CAVF and CCF that developed following various coronary artery interventions (Table 1 [2,[6][7][8][9]). The more common causes of iatrogenic CAVF and CCF include coronary perforation during stenting and guidewire-induced trauma [6,8]. Ohayon et al reported the development of a LAD-toleft ventricle fistula following primary PCI for an anterior ST-elevation myocardial infarction [6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Iatrogenic Arteriovenous Fistula Secondary to Coronary Artery Dissection Caused by Contrast Injection Into a Chronically Occluded Right Coronary Artery

et al. 2021

View full text Add to dashboard Cite

Coronary arteriovenous fistulas and coronary cameral fistulas are rare anomalies that involve the abnormal communication between a coronary artery and a venous structure, such as a coronary vein or a right-sided cardiac chamber. Iatrogenic coronary arteriovenous fistulas and coronary cameral fistulas can be uncommon complications of coronary artery angiography and intervention. Acquired coronary arteriovenous fistulas that develop during percutaneous coronary intervention of chronic total occlusions have been previously reported in the literature. However, a coronary arteriovenous fistula resulting from contrast injection into a chronically and totally occluded right coronary artery during diagnostic coronary angiography is very rare. We present a unique case of a contrast-induced iatrogenic right coronary dissection leading to a coronary arteriovenous fistula communicating to the right atrium through the middle cardiac vein.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Iatrogenic Arteriovenous Fistula Secondary to Coronary Artery Dissection Caused by Contrast Injection Into a Chronically Occluded Right Coronary Artery

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The majority of coronary-cameral fistulae (65% in one review) are congenital, although they can be acquired, usually as a result of a complication of a procedure (e.g. percutaneous coronary revascularization, valve surgery or coronary bypass surgery, septal myectomy for hypertrophic cardiomyopathy) [9,10]. Of the congenital fistulae 85% are solitary macrofistulae (defined as >1.5 mm) which usually arise from the proximal portion of an epicardial coronary artery into one of the chambers noted above.…”

Section: Discussionmentioning

confidence: 99%

Noncompaction cardiomyopathy and multiple coronary–cameral fistulae in an octogenarian

Chen

2020

Journal of Cardiology Cases

View full text Add to dashboard Cite

An 85-year-old man was admitted to the emergency department with chest pain. His electrocardiogram showed a right bundle branch block as well as increased voltages suggesting left ventricular hypertrophy and t-wave inversions consistent with a strain pattern (versus ischemia). He underwent echocardiography which showed regional noncompaction and associated hypokinesis. These findings led to coronary angiography which revealed multiple coronary-cameral fistulae involving all three coronary arteries. He was initially treated for acute coronary syndrome but after his diagnostic procedures this was narrowed to a beta blocker, to reduce myocardial oxygen demand, and an angiotensin-converting enzyme inhibitor due to the cardiomyopathy. Although the fistulae may have caused the patient's chest pain, intervention was not possible due to the diffuse nature of the fistulae. He did well in follow-up without the development of heart failure symptoms or continued angina.

show abstract

“…Coronary artery fistulae have been described draining coronary artery flow into another vascular structure or cardiac cavity [ 25 ]. These are mostly congenital [ 26 ], with infrequent cases of iatrogenic coronary fistulae reported [ 27 ]. Various management options have been proposed based on size and physiology of the fistula, complications and symptoms [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Left Main Coronary Artery Diverticulum: Case Report and Review of the Literature

et al. 2018

View full text Add to dashboard Cite

Coronary artery disease is a major cause of morbidity and mortality, and while most commonly is atherosclerotic, it can present with variable manifestations, both congenital and acquired. One such manifestation is coronary aneurysm, which is a localized dilatation of a coronary artery wall segment to greater than 1.5 times the adjacent normal segments. While a dilated outpouching of a coronary artery has been commonly classified as a coronary aneurysm, a non-dilated outpouching is rare and is referred to as a diverticulum, with only one previous case report in the literature. It is conceivable that other cases of coronary artery diverticulum may have been previously reported as an aneurysm, given the overlapping angiographic appearance. We present a case of a 72-year-old female patient with an incidental finding of left main coronary artery diverticulum on diagnostic coronary angiogram done for preoperative liver transplantation evaluation.

show abstract

Coronary–Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization

Cited by 7 publications

References 8 publications

Iatrogenic Arteriovenous Fistula Secondary to Coronary Artery Dissection Caused by Contrast Injection Into a Chronically Occluded Right Coronary Artery

Iatrogenic Arteriovenous Fistula Secondary to Coronary Artery Dissection Caused by Contrast Injection Into a Chronically Occluded Right Coronary Artery

Noncompaction cardiomyopathy and multiple coronary–cameral fistulae in an octogenarian

Left Main Coronary Artery Diverticulum: Case Report and Review of the Literature

Contact Info

Product

Resources

About