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Myocardial ischemia due to a coronary-pulmonary fistula treated with coil embolization

Luigi Fiocca1, Jacques Clerissi, Roberta Bronzini

  • 1Department of lnterventional Cardiology, MultiMedica Hospital, Sesto San Giovanni (MI), Italy. luigifiocca@yahoo.com

Italian Heart Journal : Official Journal of the Italian Federation of Cardiology
|October 19, 2004
PubMed

Insights

A rare coronary artery fistula causing myocardial ischemia was successfully treated using a minimally invasive coiling procedure. This percutaneous approach offers a low-risk alternative to surgery for this uncommon condition.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery fistulae are uncommon congenital or acquired abnormalities.
  • These fistulae can lead to myocardial ischemia and angina, particularly in adults with otherwise normal coronary arteries.

Observation:

  • A case of myocardial ischemia attributed to a coronary-pulmonary artery fistula is presented.
  • The patient presented with symptoms suggestive of angina.

Findings:

  • Successful percutaneous closure of the coronary-pulmonary fistula was achieved using embolic coils.
  • This interventional technique effectively resolved the patient's ischemic symptoms.

Implications:

  • Percutaneous closure is a viable, low-risk treatment option for coronary fistulae causing myocardial ischemia.
  • Treatment decisions should balance clinical presentation and anatomical details for optimal patient outcomes.

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