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Coronary fistula as an unusual cause of angina in a middle-aged man

Eloi Marijon1, Alda Vilanculos, Adriano Tivane

  • 1Département de Cardiologie, Hôpital Européen Georges Pompidou, Université Paris Descartes, Paris, France. eloi_marijon@yahoo.fr

Pediatric Cardiology
|December 25, 2007
PubMed

Insights

Coronary artery fistulas, rare congenital heart defects, can cause angina in adults. This case details successful transcatheter coil occlusion of a large left main coronary artery to right ventricle fistula.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Coronary artery fistulas (CAFs) are uncommon congenital abnormalities.
  • Often detected incidentally in childhood due to heart murmurs.

Observation:

  • A middle-aged male presented with symptoms of angina pectoris.
  • Diagnostic evaluation revealed a large coronary artery fistula originating from the left main coronary artery and draining into the right ventricle.

Findings:

  • The coronary artery fistula was successfully occluded using a transcatheter approach.
  • Transcatheter coil embolization provided a minimally invasive treatment option.

Implications:

  • This case highlights the importance of considering CAFs in adult patients presenting with angina.
  • Transcatheter coil occlusion is an effective treatment for large coronary artery fistulas, preventing complications and relieving symptoms.

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