Successful Percutaneous Coil Embolization of a Large and Tortuous Coronary Artery to Pulmonary Artery Fistula

Abstract

We herein report the case of a 73-year-old woman with a large and tortuous coronary artery to pulmonary artery fistula treated with percutaneous coil embolization. The patient was hospitalized due to unstable angina with an elevated serum troponin-T level. Coronary angiography revealed no significant atherosclerotic stenosis, with a large and tortuous coronary artery to pulmonary artery fistula originating from the proximal portion of the left anterior descending artery. We successfully performed percutaneous coil embolization of the fistula. In this case, 320-slice multidetector computed tomography played a pivotal role in the diagnosis and percutaneous intervention.

Transcatheter occlusion of giant congenital coronary cameral fistulae: a case series

“…The estimated prevalence is 2 per 1000 people [3–6]. The majority of cases are congenital and solitary, and constitute 0.2–0.4% of all congenital cardiac malformations and 14% of all coronary anomalies [7–9]. The embryology of CAF is suggested to be the persistence of sinusoidal connections [10].…”

Decision changing in the operating room: The importance of the surgeon′s certainty and a well prepared team

“…There are different methods and materials available for this procedure. [1567] The use of ordinary coils, cutted hemostatic sponge, Gianturco coils,[7] vascular plugs[5] have a very good success rate in diminishing the blood flow through malformation. Of course, we know that availability of all these methods is not equal throughout the world, and surgery is a well-described method for treating large pulmonary arteriovenous malformation.…”