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

Abstract

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.

Percutaneous Coil Embolization of Confluent Bilateral Coronary Artery Fistulas

“…Transcatheter embolization or closure and surgical obliteration effectively treat CAFs. Transcatheter embolization involving coils, covered stents, and umbrella devices has increased recently because it is less invasive and less risky than surgical treatment ( 7 , 8 ). Post-treatment recurrence is lower following transcatheter embolization than following surgical ligation (9% to 14% vs. 25%) ( 9 ).…”