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Published on: November 4, 2021
A complicated percutaneous coil embolisation of a large coronary artery fistula
E Kotschet1, J Federman, K R Thomson
1Cardiovascular Department, Alfred Hospital, Prahran, Australia. ekotschet@yahoo.ca
Insights
A rare coronary artery fistula caused a peri-operative heart attack in an adult. Doctors successfully closed the large fistula using a specially designed device during a minimally invasive procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary artery fistulas are uncommon causes of adult cardiac symptoms.
- A large fistula can lead to myocardial infarction via a steal phenomenon.
Purpose of the Study:
- To report the successful percutaneous treatment of a large coronary artery fistula in an adult.
- To highlight the use of a novel occlusion device for complex fistula closure.
Main Methods:
- Percutaneous closure of a large coronary artery fistula.
- Utilization of a custom-designed occlusion device tailored to the fistula size.
Main Results:
- Successful treatment of the coronary artery fistula.
- Resolution of the steal phenomenon and prevention of further cardiac events.
- Effective use of the specially constructed device for a large fistula.
Conclusions:
- Percutaneous treatment is a viable option for large coronary artery fistulas.
- Custom-designed devices can overcome challenges posed by large fistula size.
- Successful fistula closure can prevent serious complications like myocardial infarction.
Abstract:
A coronary artery fistula is a rare cause of cardiac symptoms or signs in an adult. We report here the successful percutaneous treatment of a large fistula in an adult who had suffered an acute myocardial infarction peri-operatively due to a steal phenomenon. Due to the fistula size, a specially constructed occlusion device was utilised for effective treatment.
