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Coronary artery fistula with anomalous coronary artery origin: a case report

Sahar S Abdelmoneim1, Farouk Mookadam, Sherif E Moustafa

  • 1Department of Cardiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|March 6, 2007
PubMed

Insights

Congenital coronary artery anomalies, including fistulas, are rare. This case highlights successful transcatheter embolization for a unique combined anomaly, avoiding cardiopulmonary bypass in a high-risk patient.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Diagnostic Imaging

Background:

  • Congenital anomalies of the coronary arteries affect 0.2%–1.2% of the population.
  • These anomalies are often discovered incidentally during cardiac evaluations.
  • Coronary artery fistulas represent a subset of these congenital abnormalities.

Observation:

  • A young woman presented with chest discomfort and fatigue.
  • Echocardiography revealed a coronary artery fistula.
  • The patient had a unique combination of anomalous coronary artery and fistulous anomaly.

Findings:

  • Successful transcatheter embolization of the coronary artery fistula was performed.
  • This minimally invasive approach avoided the need for cardiopulmonary bypass.
  • The procedure was suitable for a patient with contraindications to blood products.

Implications:

  • Demonstrates the feasibility of transcatheter management for complex coronary artery anomalies.
  • Highlights echocardiography's role in diagnosing coronary artery fistulas.
  • Offers a safe alternative to surgery for select patients with contraindications to blood products.

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