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[Coronary ventricular fistula as a late complication of permanent pacing]

Franco Alberto Ferrari1, Giuseppe De Angelis, Vincenzo Capacchione

  • 1Ospedale di Rho, A.O. G Salvini, Garbagnate Milanese.

Giornale Italiano Di Cardiologia (2006)
|April 28, 2012
PubMed

Insights

A rare complication of a tined ventricular catheter led to a coronary-right ventricular fistula. This discovery was made during coronary angiography for atypical chest pain.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Imaging

Background:

  • Tined ventricular catheters are used for cardiac pacing.
  • Myocardial penetration by implanted devices can lead to rare complications.
  • Atypical chest pain necessitates thorough cardiac investigation.

Observation:

  • Coronary angiography revealed an abnormal connection between a coronary artery and the right ventricle.
  • This fistula was identified as a consequence of prior myocardial injury from a ventricular catheter.

Findings:

  • The study identified a rare coronary-right ventricular fistula.
  • The fistula resulted from myocardial penetration by a tined ventricular catheter.
  • Diagnosis was confirmed via coronary angiography.

Implications:

  • This case highlights a rare but serious complication of cardiac device implantation.
  • Awareness of this complication is crucial for clinicians managing patients with cardiac devices.
  • Coronary angiography remains a key diagnostic tool for evaluating complex cardiac issues.

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